Individual
MRS. KRISTIN REBECCA RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2727 SE ALDER ST, PORTLAND, OR 97214-3015
(503) 234-0175
Mailing address
4906 SE 50TH AVE, PORTLAND, OR 97206-4911
(503) 333-7844
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003460
OR
Other
Enumeration date
03/08/2007
Last updated
03/01/2017
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