Individual
REBECCA CELESTE PAUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4305 SE COOPER ST, PORTLAND, OR 97206-7760
(503) 320-6313
(503) 722-4470
Mailing address
4305 SE COOPER ST, PORTLAND, OR 97206-7760
(503) 320-6313
(503) 722-4470
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C2762
OR
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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