Individual
KURT RIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 NE IRVING ST STE 210, PORTLAND, OR 97232-2243
(425) 477-4215
Mailing address
2414 SE 143RD AVE APT 6, PORTLAND, OR 97233-2400
(503) 960-8563
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L11508
OR
Other
Enumeration date
02/14/2011
Last updated
11/29/2024
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