Individual provider · Type 1 NPI

Katherine Reavis

Mental Health Counselor · Portland, OR

NPI number 1154874022 Active

Practice location

14626 SE Powell Blvd Apt 106
Portland, OR 97236-2572

Call (971) 254-9600 Map

Fax (971) 254-9598

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1154874022

Katherine Reavis's National Provider Identifier is 1154874022, issued on Jul 27, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 27, 2016.