Individual
MS. KATHLEEN REICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W., L.C.S.W
Contact information
Practice address
1200 NW NAITO PKWY, SUITE 280, PORTLAND, OR 97209-2830
(503) 224-5241
Mailing address
1200 NW NAITO PKWY, SUITE 280, PORTLAND, OR 97209-2830
(503) 224-5241
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
—
—
1041C0700X
Clinical Social Worker
Primary
398
OR
Other
Enumeration date
10/13/2008
Last updated
10/13/2008
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