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Abri Radically Open Dbt LLC

Social Worker, Clinical in Portland, OR. Organization (NPI-2).

NPI number1124583786
StatusActive
Last updated in NPPESFeb 7, 2019

Details

NPI
1124583786
Entity type
Organization (NPI-2)
Legal business name
Abri Radically Open Dbt LLC
Organization subpart
No
Enumeration date
Feb 7, 2019
Last updated
Feb 7, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes
101YP2500X Counselor, Professional––

Practice location

520 Sw Yamhill St Ste 345
Portland, OR 97204-1335

Phone 503-267-4786

Mailing address

520 Sw Yamhill St Ste 345
Portland, OR 97204-1335

Phone 503-267-4786

Authorized official

Li Lin Hally
Clinical Director
5032674786

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