Most Relevant Information
Provider Data
| NPI Number: | 1003664012 |
| Provider Name: | LORI EBERLY LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | L4039 |
Most Important Dates
| Enumeration Date: | 05/07/2024 |
| Last Updated: | 05/07/2024 |
Provider Practice Location
500 NE MULTNOMAH ST FL 7
PORTLAND
OR
972322023
Practice Location Phone/Fax
| Phone: | 5034995200 |
| Fax: |
Provider Mailing Location
7865 N WASHBURNE AVE
PORTLAND
OR
972175945
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |