LARK RYAN, LCSW, LLC
Ambulatory Health at Holladay St, Portland, OR

License number
Oregon L2683
Category
Ambulatory Health
Type
Mental Health (Including Community Mental Health Center)
Owner
Name: MS. LARK WEBSTER RYAN LCSW
Title: SOLE OWNER
Phone: (503) 287-4975
Address
Address
650 NE Holladay St SUITE 1600, Portland, OR 97232
National Provider ID: 1538599055
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LARK RYAN, LCSW, LLC at bizstanding.com

LARK RYAN, LCSW LLC

Portland, OR

Registration:
Jan 2, 2013
Addresses:
1525 NE Weidler SUITE 101, Portland, OR 97232 (Mailing)
1525 NE Weidler #101, Portland, OR 97232 (Physical)
State ID:
90462996
Business type:
DOMESTIC LIMITED LIABILITY COMPANY
Agent:
Lark Websterryan,1525 NE Weidler SUITE 101, Portland, OR 97232 (Physical)

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