Individual
RACHEL EDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 E BURNSIDE ST, PORTLAND, OR 97214-1831
(503) 953-0310
Mailing address
7515 FALCON CREST DR # 200, REDMOND, OR 97756-5014
(541) 904-5216
(541) 527-4347
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
508181
OR
101YM0800X
Mental Health Counselor
178008898
IL
101YP2500X
Professional Counselor
Primary
C3784
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500181599
—
OR
Enumeration date
03/10/2015
Last updated
04/17/2025
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