Individual
MRS. KIELEY SUE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11895 SW GREENBURG RD, TIGARD, OR 97223-6450
(503) 726-3690
(503) 726-3691
Mailing address
10313 SW 69TH AVE, TIGARD, OR 97223-9103
(503) 726-3690
(503) 726-3691
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/20/2011
Last updated
05/20/2011
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