Individual
ANGEL RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3885 NW 148TH PL, PORTLAND, OR 97229-1141
(503) 470-2626
Mailing address
3885 NW 148TH PL, PORTLAND, OR 97229-1141
(503) 470-2626
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
225700000X
Massage Therapist
6832
OR
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
04/04/2007
Last updated
01/12/2021
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