James Reavis, LCSW

NPI 1992854665 · on the registry since 2007 · sole proprietor

Practice

Address: 1133 Nw 21st Ave
Portland, OR 97209
Phone: (503) 222-5010
Organisation at this address: Marney Hoffman, Phd
Luahna Ude, Phd, Pc
Mary Lee Nichols Phd Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon