Individual
RYAN ROBERT LUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
4223 SE 66TH AVE, PORTLAND, OR 97206-3658
(503) 400-3265
Mailing address
4223 SE 66TH AVE, PORTLAND, OR 97206-3658
(503) 400-3265
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A12194
OR
Other
Enumeration date
07/23/2017
Last updated
01/05/2026
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