Individual
CAITLIN REIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2923 NE BROADWAY ST, PORTLAND, OR 97232-1760
(503) 941-0856
Mailing address
10316 SW HOLLYRIDGE LN, BEAVERTON, OR 97005-1970
(650) 346-0985
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/20/2018
Last updated
07/14/2025
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