JAMES EARL REAVIS

PORTLAND, OR
NPI1992854665
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  666)
Enumeration Date2007-01-10
Last Update Date2007-07-08
Business Address
-- JAMES EARL REAVIS LCSW
1133 NW 21ST AVE
PORTLAND, OR 97209-1513
Phone number: 503-222-5010
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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