Healthcare Provider Details

I. General information

NPI: 1427793637
Provider Name (Legal Business Name): ARYKA LOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2022
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 SW MORRISON ST STE 310
PORTLAND OR
97205-1945
US

IV. Provider business mailing address

14231 SE SALMON ST
PORTLAND OR
97233-2253
US

V. Phone/Fax

Practice location:
  • Phone: 808-687-0364
  • Fax:
Mailing address:
  • Phone: 808-687-0364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: