Provider Demographics
NPI:1285865717
Name:FLYNN, PATRICIA LAMB (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:LAMB
Last Name:FLYNN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:LAMB
Other - Last Name:GUARINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 20008
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97294-0008
Mailing Address - Country:US
Mailing Address - Phone:503-261-2443
Mailing Address - Fax:503-254-7948
Practice Address - Street 1:8840 NE SKIDMORE STREET
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97294-0008
Practice Address - Country:US
Practice Address - Phone:503-254-7371
Practice Address - Fax:503-254-7948
Is Sole Proprietor?:No
Enumeration Date:2009-07-31
Last Update Date:2009-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL2123104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker