Provider Demographics
NPI:1053456913
Name:LAHN, PATRICIA KAREN (MSW)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:KAREN
Last Name:LAHN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:KAREN
Other - Last Name:ROYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1420 NW LOVEJOY
Mailing Address - Street 2:SUITE 602
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97209-2747
Mailing Address - Country:US
Mailing Address - Phone:503-223-2493
Mailing Address - Fax:
Practice Address - Street 1:1420 NW LOVEJOY
Practice Address - Street 2:SUITE 602
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97209-2747
Practice Address - Country:US
Practice Address - Phone:503-223-2493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL15351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORL1535OtherOR STATE BOARD OF CLINICA