Individual
STEPHEN M REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
10260 SW GREENBURG RD STE 400, PORTLAND, OR 97223-5514
(646) 960-3553
Mailing address
6298 SW GRAND OAKS DR APT F202, CORVALLIS, OR 97333-4773
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L8546
OR
Other
Enumeration date
04/14/2021
Last updated
01/25/2022
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