Individual
DESARAY RAVEN NOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5441 S MACADAM AVE STE R, PORTLAND, OR 97239-3822
(606) 460-4919
Mailing address
5441 S MACADAM AVE STE R, PORTLAND, OR 97239-3822
(606) 460-4919
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
A17885
OR
Other
Enumeration date
10/07/2010
Last updated
05/08/2026
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