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Individual

GREGORY MICHALSON RAINEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, LCSW

Contact information

Practice address
13930 MAJESTIC CT, LAKE OSWEGO, OR 97035-1951
(503) 374-4415
Mailing address
13930 MAJESTIC CT, LAKE OSWEGO, OR 97035-1951
(503) 374-4415

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L10870
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
L10870
OREGON BOARD OF LICENSED SOCIAL WORKERS
OR
Enumeration date
03/03/2022
Last updated
11/22/2024
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