Individual
LINA SOARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MSW
Contact information
Practice address
636 SW 2ND ST, CORVALLIS, OR 97333-4442
(541) 230-8497
(541) 600-3330
Mailing address
1923 SW BROOKLANE DR, CORVALLIS, OR 97333-1627
(541) 230-8497
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L8051
OR
Other
Enumeration date
03/24/2020
Last updated
05/06/2021
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