Individual provider · Type 1 NPI

Rayna Delarose Bolton, LE

Specialist · Portland, OR

NPI number 1912892928 Active

Practice location

2031 SE Belmont St
Portland, OR 97214-2812

Call (503) 894-6134 Map

Mailing address

5057 SE Reedway St
Portland, OR 97206-6154

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XBAP-E-10256325 (OR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1912892928

Rayna Delarose Bolton, LE's National Provider Identifier is 1912892928, issued on Jun 10, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Jun 10, 2025.