Individual
CAROLINE REIGELUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1235 SE DIVISION ST STE 102, PORTLAND, OR 97202-1055
(360) 726-4141
(360) 787-4441
Mailing address
1315 NW 19TH AVE APT 509, PORTLAND, OR 97209-1880
(914) 772-5314
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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