Individual
MELANIE REASONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
18324 SE RIVER RD, PORTLAND, OR 97267-6026
(503) 413-9104
Mailing address
18324 SE RIVER RD, MILWAUKIE, OR 97267-6026
(503) 413-9104
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L8283
OR
1041C0700X
Clinical Social Worker
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275260465
PCS
—
Enumeration date
08/29/2022
Last updated
03/06/2026
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