LOLA AMINOVA RYAN

PORTLAND, OR
NPI1063884856
Former NameLOLA AMINOVA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L10543)
Enumeration Date2015-10-20
Last Update Date2025-03-05
Business Address
LOLA AMINOVA RYAN
2738 NE BROADWAY ST
PORTLAND, OR 97232-1723
Phone number: 503-308-8392
Mailing Address
LOLA AMINOVA RYAN
2738 NE BROADWAY ST
PORTLAND, OR 97232-1723
Phone number: 503-308-8392