Individual
ORENTHEO RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3910 SE STARK ST, PORTLAND, OR 97214-3241
(503) 810-5797
Mailing address
3910 SE STARK, PORTLAND, OR 97214-2231
(503) 810-5797
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13-09-47
OR
101YM0800X
Mental Health Counselor
13-09-47
OR
Other
Enumeration date
09/19/2014
Last updated
08/18/2015
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