Individual
KELLY RAE STRIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CADC III
Contact information
Practice address
10700 SW BEAVERTON HILLSDALE HWY STE 560, BEAVERTON, OR 97005-4791
(503) 704-5061
Mailing address
10700 SW BEAVERTON HILLSDALE HWY, SUITE 560, BEAVERTON, OR 97005
(503) 704-5061
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10-12-49
OR
101YM0800X
Mental Health Counselor
Primary
C2931
OR
101YP2500X
Professional Counselor
Primary
C2931
OR
106H00000X
Marriage & Family Therapist
C2931
OR
Other
Enumeration date
01/18/2011
Last updated
01/29/2026
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