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Search › Oregon › 101YM0800X

Dakota Lake, LCSW

NPI 1407628845 · on the registry since 2023 · sole proprietor

Practice

Address
5441 S Macadam Ave
Portland, OR 97239
Phone
(971) 415-5755
Fax
(971) 415-5855
Organisation at this address
Forley Llc
Forley Llc
Forley Llc
Forley Llc
Forley Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
155

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-03-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon