David A Ryan, LCSW
Social Worker, Clinical in Portland, OR. Individual provider (NPI-1).
NPI number1114286705
StatusActive
Last updated in NPPESNov 13, 2020
Details
- NPI
- 1114286705
- Entity type
- Individual (NPI-1)
- Name
- David A Ryan
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 16, 2012
- Certification date
- Nov 13, 2020
- Last updated
- Nov 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | L5276 | OR | Yes |
Practice location
2250 Nw Flanders St Ste 201Portland, OR 97210-5410
Phone 503-750-1859 · Fax 844-293-3937
Mailing address
2250 Nw Flanders St Ste 201Portland, OR 97210-5410
Phone 503-427-1952 · Fax 844-293-3937
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