LARK RYAN, LCSW, LLC (NPI# 1538599055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538599055 |
| Entity Type | Organization |
| Organization Name | LARK RYAN, LCSW, LLC |
| Practice Address |
650 Ne Holladay St Suite 1600 Portland OR 97232-2045 |
| Practice Telephone | 5032874975 |
| Practice Fax Number | 5022150212 |
| Mailing Telephone | 5032874975 |
| Mailing Fax Number | 5022150212 |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2015-03-11 |
| Authorized Official Name | MS. LARK WEBSTER RYAN (SOLE OWNER) |
| Authorized Official Telephone | 5032874975 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
L2683 | OR | Ambulatory Health Care Facilities |
| Street Address |
650 NE HOLLADAY ST SUITE 1600 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97232-2045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518200039 | Gregory Ellis Devore | Psychologist | 650 Ne Holladay St, Ste 1600, Portland, OR 97232-2045 | 2013-04-03 |
| 1568913028 | Will Walker Lcisw LLC | Community/Behavioral Health | 650 Ne Holladay St, Suite 1600, Portland, OR 97232-2045 | 2016-10-20 |
| 1144779893 | Kerry Cohen | Counselor | 650 Ne Holladay St, Ste 1685, Portland, OR 97232-2045 | 2016-09-22 |
| 1831544824 | Lionrock Behavioral Health, Inc | Community/Behavioral Health | 650 Ne Holladay St, Suite 1600, Portland, OR 97232 | 2016-04-27 |
| 1942670906 | Ashley Nayman | Social Worker | 650 Ne Holladay St, Suite 1600, Portland, OR 97232-2045 | 2015-10-03 |
| 1003290503 | Colin Mccrudden | Counselor | 650 Ne Holladay St, Suite # 1637, Portland, OR 97232-2045 | 2015-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
| 1154969947 | Lori Kristen Miracle | Acupuncturist | Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 | 2019-12-12 |
| 1194285411 | Onampai Modina Soondarotok | Student in an Organized Health Care Education/Training Program | Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 | 2019-03-22 |
| 1003399635 | Cathleen Nicole Wenberg | Social Worker | 1839 Ne Couch St, Portland, OR 97232 | 2018-09-10 |
| 1508350760 | Float North | Acupuncturist | 1617 Ne 17th Ave., Portland, OR 97232 | 2018-06-20 |
| 1629560719 | Rachael Lee Walters | Doula | 3005 Ne Hoyt St, Portland, OR 97232 | 2018-06-04 |
| 1225529431 | Jason Sutherland | Social Worker | 707 Ne Couch, Portland, OR 97232 | 2018-05-23 |
| 1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
| 1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
| 1639680374 | Amanda Matteo | Counselor | 20 Ne 10th Ave, Portland, OR 97232 | 2017-10-20 |
| Find all providers in zip 97232 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912521998 | The Practice of Jeffery Wise Therapeutics Pmhnp-bc | Clinic/Center | 2651 Nw Thurman St Apt 303, Portland, OR 97210-2327 | 2020-06-04 |
| 1356973010 | Holistic Healing Behavioral Healthcare | Clinic/Center | 5257 Ne Martin Luther King Blvd Ste 201, Portland, OR 97211-3283 | 2020-02-10 |
| 1821654112 | Hand of Mercy Health Care, LLC | Clinic/Center | 1087 Forest Ave, Portland, ME 04103-3321 | 2019-05-13 |
| 1598228579 | Christensen Counseling, LLC | Clinic/Center | 6420 Sw Macadam Avenue, Suite 390, Portland, OR 97239-9723 | 2019-04-08 |
| 1700358314 | Nikki Wetherell Counseling | Clinic/Center | 19 South St Ste 6, Portland, ME 04101-3963 | 2018-12-20 |
| 1427545961 | Value Creation Counseling | Clinic/Center | 2028 Se Marion St Apt 11, Portland, OR 97202-7365 | 2018-04-19 |
| 1982140588 | Columbiacare Services | Clinic/Center | 17720 Ne Halsey St # 1, Portland, OR 97230-6734 | 2017-01-06 |
| 1528420692 | Connections First, LLC | Clinic/Center | 2250 Nw Flanders St Ste 201, Portland, OR 97210-5410 | 2016-03-28 |
| 1194104026 | Coastal Plains Community Mhmr Center | Clinic/Center | 200 Marriott Drive, Portland, TX 78374-2213 | 2015-05-26 |
| 1841618253 | Sellwood Counseling Services | Clinic/Center | 6637 Se Milwaukie Ave, Ste. 204, Portland, OR 97202-5658 | 2014-04-02 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.