Rain Aquino

Individual provider Active NPI Mental Health Counselor · Portland, OR

NPI 1831773522 · NPPES record last updated Dec 3, 2024

Key facts

NPI
1831773522
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
PROFESSIONALLICENSE
Practice address
17720 NE Halsey St Ste a
Portland, OR 97230-6771
Phone
(503) 654-7654
Fax
(503) 654-7333
NPI assigned
May 8, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PROFESSIONALLICENSE Yes

Addresses

Primary practice location

17720 NE Halsey St Ste a
Portland, OR 97230-6771

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004
Phone (541) 858-8170

Other providers in Portland, OR

All providers in Portland, OR · Mental Health Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.