Individual
MR. RON LAGERGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(971) 645-5580
Mailing address
2834 NE EVERETT ST, PORTLAND, OR 97232-3247
(503) 481-2348
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3564
OR
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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