NPI 1124583786 · live from the CMS NPI Registry
Abri Radically Open Dbt LLC
Social Worker, Clinical in Portland, OR. National Provider Identifier 1124583786, active.
NPI record
| NPI | 1124583786 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 520 Sw Yamhill St Ste 345, Portland, OR 97204 |
| Practice phone | 503-267-4786 |
| Enumerated | February 7, 2019 |
| Last updated | February 7, 2019 |
| Authorized official | Li Lin Hally, Clinical Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional | 101YP2500X | — |
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.