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NPI Code Detail

MEDICARE: CHRISTINA REICHERT LICSW

MEDICARE: CHRISTINA REICHERT LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLW60959761WA
21041C0700XClinical Social WorkerL9520OR

General Provider Information

NPI Number : 1013361732
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA REICHERT LICSW
Provider Business Mailing Address
First Line : 101 E 8TH ST STE 110
Second Line :
City : VANCOUVER
State : WA
Zip : 98660-3294
Country : US
Telephone Number : 360-843-0646
Fax Number :
Provider Business Practice Location Address
First Line : 10260 SW GREENBURG RD STE 400
Second Line :
City : PORTLAND
State : OR
Zip : 97223-5514
Country : US
Telephone Number : 360-843-0646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2016
Last Update Date : 11/10/2023

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Directions to “ CHRISTINA REICHERT LICSW” Practice Location

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