Individual
MRS. LARK MARIE ALLISON-DAMITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2875 NW STUCKI AVE, HILLSBORO, OR 97124-5806
(971) 310-1000
Mailing address
702 NE 73RD AVE, HILLSBORO, OR 97124-7535
(503) 702-6023
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A4060
OR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/18/2013
Last updated
12/20/2021
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