Individual
CLAYTON RIDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
7916 SE FOSTER RD STE 201, PORTLAND, OR 97206-4289
(503) 465-2749
Mailing address
PO BOX 16576, PORTLAND, OR 97292-0576
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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