Individual
JOHANNA R RAYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, GCFP
Contact information
Practice address
3939 NE HANCOCK ST STE 207, PORTLAND, OR 97212-5321
(503) 380-5437
(888) 974-1510
Mailing address
3939 NE HANCOCK ST, STE 207, PORTLAND, OR 97212-5321
(503) 380-5437
(888) 974-1510
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3843
OR
174400000X
Specialist
3575
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164936
—
OR
01
—
520079000
REGENCE BLUECROSS BLUESHIELD OF OREGON
OR
Enumeration date
07/20/2009
Last updated
10/28/2024
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