Individual provider · Type 1 NPI

Michelle Christine Raynor, PhD

Clinical Social Worker · The Dalles, OR

NPI number 1629191572 Active

Practice location

2015 E 12th St
The Dalles, OR 97058-3912

Fax (503) 206-5910

Mailing address

13280 SE Meadowpark Dr
Happy Valley, OR 97236-5986

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XA2019 (OR)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1629191572

Michelle Christine Raynor, PhD's National Provider Identifier is 1629191572, issued on Apr 7, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in The Dalles, OR. The record was last updated on Jul 8, 2007.