Healthcare Provider Details

I. General information

NPI: 1215527213
Provider Name (Legal Business Name): RAINER QUINN CATKIN RIVENBURGH MAAT, ATR-BC, LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: HANNAH QUINN RIVENBURGH

II. Dates (important events)

Enumeration Date: 01/22/2021
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3905 SW VACUNA ST
PORTLAND OR
97219-7471
US

IV. Provider business mailing address

7805 SW 40TH AVE # 80172
PORTLAND OR
97219-1643
US

V. Phone/Fax

Practice location:
  • Phone: 206-605-6208
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License NumberART-T-10209883
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC6010
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: