Individual
REBEKAH REILLY RAFTERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PWS, CADC-R
Contact information
Practice address
1621 NE 2ND AVE, PORTLAND, OR 97232-1134
(971) 900-2532
Mailing address
1621 NE 2ND AVE, PORTLAND, OR 97232-1134
(971) 900-2532
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-24-4276
OR
175T00000X
Peer Specialist
—
—
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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