Individual
HAVEN RAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 N 10TH ST, KLAMATH FALLS, OR 97601-5803
(385) 231-4030
Mailing address
4135 ALTAMONT DR, KLAMATH FALLS, OR 97603-7270
(385) 231-4030
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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