MEDICARE: LYNN A SMITH-STOTT CDP

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	CP00006104	WA
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	10-12-80	OR
3	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1861717332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNN A SMITH-STOTT CDP

Provider Business Mailing Address
First Line	:	232 NW 6TH AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97209-3609
Country	:	US
Telephone Number	:	503-200-3923
Fax Number	:	503-241-7419

Provider Business Practice Location Address
First Line	:	709 NW EVERETT
Second Line	:	BLDG 17, STE 222
City	:	PORTLAND
State	:	OR
Zip	:	97209-4060
Country	:	US
Telephone Number	:	503-226-4060
Fax Number	:	503-445-4913

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2010
Last Update Date	:	06/28/2011

Similar Medicare Providers

1700279106 — MS. MICHELLE MONTGOMERY LCSW
Practice Location Address:

4328 SE 47TH AVE
PORTLAND, OR
97206-4060

Practice Phone: 714-222-1020
Practice Fax:

1457097206 — MRS. NINA TARABUS LMSW
Practice Location Address:

1306 NW HOYT ST STE AND407
PORTLAND, OR
97209-2731

Practice Phone: 971-407-3930
Practice Fax:

1982425435 — KATE RAMONA SHOBER
Practice Location Address:

33 NW BROADWAY
PORTLAND, OR
97209-3580

Practice Phone: 503-228-7134
Practice Fax:

1396609665 — MR. LUKE JEAN HOON MORET OTR/L
Practice Location Address:

1411 NW QUIMBY ST APT 210
PORTLAND, OR
97209-4090

Practice Phone: 971-205-4005
Practice Fax:

1336024496 — DESERT ROSE COUNSELING, LLC
Practice Location Address:

1942 NW KEARNEY ST STE 11
PORTLAND, OR
97209-1463

Practice Phone: 503-389-0030
Practice Fax:

1821670670 — ABIGAIL ROSE LEI BULLOCK
Practice Location Address:

1942 NW KEARNEY ST STE 11
PORTLAND, OR
97209-1463

Practice Phone: 503-610-5567
Practice Fax:

Directions to “ LYNN A SMITH-STOTT CDP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.