Individual
MRS. ANA REICHELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4110 NE 122ND AVE STE 102, PORTLAND, OR 97230-1359
(503) 309-1779
Mailing address
4110 NE 122ND AVE., PORTLAND, OR 97080
(503) 309-1779
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C3492
OR
Other
Enumeration date
07/10/2008
Last updated
10/06/2014
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