Individual
PETER RAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
10580 SW MCDONALD ST STE 202, PORTLAND, OR 97224-4800
(503) 847-9697
Mailing address
1530 S CAREY LN, PORTLAND, OR 97219-7949
(503) 388-8675
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R9163
OR
Other
Enumeration date
12/13/2021
Last updated
05/29/2024
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