Healthcare Provider Details

I. General information

NPI: 1730713496
Provider Name (Legal Business Name): RACHEL PORTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2020
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 JOHN ADAMS ST
OREGON CITY OR
97045-1695
US

IV. Provider business mailing address

PO BOX 231
SHERWOOD OR
97140-0231
US

V. Phone/Fax

Practice location:
  • Phone: 503-714-1435
  • Fax:
Mailing address:
  • Phone: 503-714-1435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC5970
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: