Individual
TERRY IRENE RAINWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
73265 CONFEDERATED WAY, PENDLETON, OR 97801-0160
(541) 966-9830
Mailing address
510 NORTH 4TH, PENDLETON, OR 97801
(541) 278-7537
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCPC2289
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171037
—
OR
Enumeration date
06/14/2012
Last updated
06/14/2012
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