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1992854665
JAMES EARL REAVIS
PORTLAND, OR
NPI
1992854665
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR 666)
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
-- JAMES EARL REAVIS LCSW
1133 NW 21ST AVE
PORTLAND, OR 97209-1513
Phone number: 503-222-5010
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Mailing Address
-- JAMES EARL REAVIS LCSW
2056 NW FLANDERS ST APT 3
PORTLAND, OR 97209-1135
Phone number: 503-936-0938
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