Organization
RED CLOVER WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE REIS PMHNP (OWNER)
(503) 683-3627
Entity
Organization
Contact information
Practice address
12525 SE CREST WAY, HAPPY VALLEY, OR 97086
(503) 683-3627
Mailing address
12042 SE SUNNYSIDE RD # 511, CLACKAMAS, OR 97015-8382
(503) 683-3627
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
01/16/2024
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