Individual
LORI G KLOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2225 PACIFIC BLVD SE, ALBANY, OR 97321-7907
(541) 321-2278
(541) 249-8826
Mailing address
4585 SW 185TH AVE, ALOHA, OR 97078-1557
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C7299
OR
101YP2500X
Professional Counselor
Primary
C7299
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500771153
—
OR
Enumeration date
07/23/2019
Last updated
11/04/2024
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