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1154874022
KATHERINE REAVIS
PORTLAND, OR
NPI
1154874022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-07-27
Last Update Date
2016-07-27
Business Address
KATHERINE REAVIS
14626 SE POWELL BLVD APT 106
PORTLAND, OR 97236-2572
Phone number: 971-254-9600
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Mailing Address
KATHERINE REAVIS
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 336-209-6152
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