Individual
MRS. LARA TERWILLIGER WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
1820 SW VERMONT ST, SUITE H, PORTLAND, OR 97219-1945
(503) 452-4500
(503) 452-4501
Mailing address
1820 SW VERMONT ST, SUITE H, PORTLAND, OR 97219-1945
(503) 452-4500
(503) 452-4501
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3701
OR
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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