Individual
CHRISTOPHER SCOTT REIGELUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-6176
(503) 494-6152
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-6176
(503) 494-6152
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2939
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15889021
EMPLOYEE NUMBER
CT
Enumeration date
04/07/2016
Last updated
05/24/2022
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