Individual
DR. MICHELLE CHRISTINE RAYNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
2015 E 12TH ST, THE DALLES, OR 97058-3912
(503) 679-8292
(503) 206-5910
Mailing address
13280 SE MEADOWPARK DR, HAPPY VALLEY, OR 97236-5986
(503) 679-8292
(503) 206-5910
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A2019
OR
Other
Enumeration date
04/07/2007
Last updated
07/08/2007
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