DEVANTE ANDRAES RAYNOR

PORTLAND, OR
NPI1417608035
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-21-1344)
Enumeration Date2022-01-14
Last Update Date2022-01-14
Business Address
DEVANTE ANDRAES RAYNOR
12670 NW BARNES RD STE 200
PORTLAND, OR 97229-9001
Phone number: 503-747-0404
Mailing Address
DEVANTE ANDRAES RAYNOR
12670 NW BARNES RD STE 200
PORTLAND, OR 97229-9001
Phone number: 503-747-0404