# R.E.A.P.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750127429
- **Authorized official:** EDMOND DESHAWN WILLIAMS MSW (CLINICAL SUPERVISOR)
- **Authorized official phone:** (503) 334-9955

## Contact information

- **Practice address:** 10814 NE HALSEY ST, PORTLAND, OR 97220-3047
- **Practice address phone:** (503) 688-2784
- **Practice address fax:** (971) 302-6649
- **Mailing address:** 10808 NE HALSEY ST, PORTLAND, OR 97220-3047
- **Mailing address phone:** (503) 688-2784
- **Mailing address fax:** (971) 302-6649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/02/2024
- **Last updated:** 07/02/2024