Individual
MISS REILY ELISABETH NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5441 S MACADAM AVE STE R, PORTLAND, OR 97239-3822
(541) 366-5983
Mailing address
2004 SW 29TH ST, REDMOND, OR 97756-8035
(513) 305-0787
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
OR
1041C0700X
Clinical Social Worker
Primary
L16264
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/21/2019
Last updated
08/29/2025
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