Individual
SHOSHAWNA RAINWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6410 NE HALSEY, SUITE 300, PORTLAND, OR 97213-4759
(503) 215-4691
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4013
OR
Other
Enumeration date
10/04/2012
Last updated
01/07/2014
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