Individual
J RACHEL AVILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, LMT, QMHA
Contact information
Practice address
8824 N HAMLIN AVE, PORTLAND, OR 97217-7152
(503) 946-8432
Mailing address
5415 SW WESTGATE DR, PORTLAND, OR 97221-2409
(503) 539-3320
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
174400000X
Specialist
17717
OR
Other
Enumeration date
08/10/2012
Last updated
09/29/2023
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