Individual
LILY H DRAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1827 NE 44TH AVE STE 390, PORTLAND, OR 97213-1461
(818) 219-7349
Mailing address
1531 SE 35TH PL, PORTLAND, OR 97214-5112
(818) 219-7349
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
Primary
—
OR
Other
Enumeration date
06/23/2020
Last updated
04/25/2022
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