Individual
KIRSTEN RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R-DMT, QMHP-R
Contact information
Practice address
644 SW COAST HWY STE 204, NEWPORT, OR 97365-5064
(541) 819-5678
(541) 819-5681
Mailing address
321 SE 3RD ST, TOLEDO, OR 97391-1613
(541) 336-2254
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R9929
OR
225600000X
Dance Therapist
2877
OR
225XM0800X
Mental Health Occupational Therapist
23QMHPR2007
OR
Other
Enumeration date
01/03/2013
Last updated
09/21/2024
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