Individual
BEVERLY KAY RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1698 E MCANDREWS RD STE 300, MEDFORD, OR 97504
(541) 732-7950
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 732-7950
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2012033735
MO
1041C0700X
Clinical Social Worker
Primary
L6954
OR
Other
Enumeration date
01/30/2013
Last updated
05/30/2018
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