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NPI Code Detail

MEDICARE: JULIA LYMAR

MEDICARE:   JULIA  LYMAR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2101YP2500XProfessional CounselorR11306OR

General Provider Information

NPI Number : 1295557015
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA LYMAR
Provider Business Mailing Address
First Line : 3115 NE SANDY BLVD STE 225
Second Line :
City : PORTLAND
State : OR
Zip : 97232-2777
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3115 NE SANDY BLVD STE 225
Second Line :
City : PORTLAND
State : OR
Zip : 97232-2777
Country : US
Telephone Number : 971-407-3930
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2024
Last Update Date : 07/09/2025

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Directions to “ JULIA LYMAR ” Practice Location

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