Organization
QUEER EXPRESSIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE M LYNCH LMFT (OWNER)
(503) 908-9435
Entity
Organization
Contact information
Practice address
3620 SE POWELL BLVD STE 102, PORTLAND, OR 97202-1880
(503) 908-9435
Mailing address
3620 SE POWELL BLVD STE 102, PORTLAND, OR 97202-1880
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245590884
INDIVIDUAL
CA
01
—
1376956086
INDIVIDUAL
CA
Enumeration date
04/22/2024
Last updated
04/22/2024
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