Dynamic Therapy Alliance, Llc
Clinical Social Worker · Portland, OR
At a glance
2404 Se 113Th Ave, Portland, OR 97216-4042
NPPES record updated Mar 16, 2026. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
2404 Se 113Th AvePortland, OR 97216-4042
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Clinical Social Worker
- Taxonomy code
- 1041C0700X
- Enumeration date
- Apr 9, 2025
- Record updated
- Mar 16, 2026
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Clinical Social Worker
1041C0700X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
2404 Se 113Th AvePortland, OR 97216-4042
- Phone
- (971) 259-8022
- Fax
- (971) 484-4002
Mailing address
2404 SE 113TH AVE APT APORTLAND, OR 972164042
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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