NPI 1689016701 · live from the CMS NPI Registry
Lark Marie Allison-Damitz, MSW
Social Worker, Clinical in Hillsboro, OR. National Provider Identifier 1689016701, active.
NPI record
| NPI | 1689016701 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 2875 Nw Stucki Ave, Hillsboro, OR 97124 |
| Practice phone | 971-310-1000 |
| Mailing address | 702 Ne 73rd Ave, Hillsboro, OR 97124 |
| Enumerated | July 18, 2013 |
| Last updated | December 20, 2021 |
| Sole proprietor | Yes |
| Other names | Lark Allison |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Social Worker, Clinical primary | 1041C0700X | A4060 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.