Healthcare Provider Details

I. General information

NPI: 1285039842
Provider Name (Legal Business Name): LORI SYLVAIN LICSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LORINDA LAWRENCE LICSW, LCSW

II. Dates (important events)

Enumeration Date: 10/24/2014
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8347 N SWENSON ST
PORTLAND OR
97203-1114
US

IV. Provider business mailing address

8347 N SWENSON ST
PORTLAND OR
97203-1114
US

V. Phone/Fax

Practice location:
  • Phone: 971-202-0576
  • Fax:
Mailing address:
  • Phone: 971-202-0576
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCG60515603
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLW60807883
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberL7550
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: