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Individual

MS. NANCY LOUISE REYNOLDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW,RN

Contact information

Practice address
319 SW WASHINGTON ST, # 1015, PORTLAND, OR 97204-2635
(503) 735-5994
(503) 227-2561
Mailing address
2327 NW NORTHRUP ST APT 17, PORTLAND, OR 97210-2983
(503) 719-6943
(503) 227-2561

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4589
OR

Other

Enumeration date
10/17/2011
Last updated
10/17/2011
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