| Abri Radically Open Dbt Llc | |
|
520 Sw Yamhill St Ste 345 Portland OR 97204-1335 | |
| (503) 267-4786 | |
| Not Available |
| Full Name | Abri Radically Open Dbt Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 520 Sw Yamhill St Ste 345, Portland, Oregon |
| Authorized Official Name and Position | Li Lin Hally (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5032674786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abri Radically Open Dbt Llc 520 Sw Yamhill St Ste 345 Portland OR 97204-1335 Ph: (503) 267-4786 | Abri Radically Open Dbt Llc 520 Sw Yamhill St Ste 345 Portland OR 97204-1335 Ph: (503) 267-4786 |
| NPI Number | 1124583786 |
|---|---|
| Provider Enumeration Date | 02/07/2019 |
| Last Update Date | 02/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124583786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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