Individual
REBECCA JENNIE MAE GOLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 SE LAKE RD STE 175, PORTLAND, OR 97222-2137
(628) 587-7237
Mailing address
9879 SE AMHERST ST, CLACKAMAS, OR 97015-9168
(503) 807-6701
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OR
Other
Enumeration date
11/10/2025
Last updated
11/19/2025
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