Individual
REBA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12725 SW 66TH AVE STE 202, TIGARD, OR 97223-2500
(503) 953-0310
Mailing address
7515 FALCON CREST DR # 200, REDMOND, OR 97756-5014
(541) 904-5216
(541) 527-4347
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
23-QMHP-R-2248
OR
101YM0800X
Mental Health Counselor
Primary
A14457
OR
101YM0800X
Mental Health Counselor
Primary
L17872
OR
1041C0700X
Clinical Social Worker
Primary
L17872
OR
Other
Enumeration date
01/24/2023
Last updated
04/21/2026
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