MEDICARE: MS. KATHLEEN REICKER M.S.W., L.C.S.W

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
1	102L00000X	Psychoanalyst
2	1041C0700X	Clinical Social Worker	398	OR

General Provider Information

NPI Number	:	1316199102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHLEEN REICKER M.S.W., L.C.S.W

Provider Business Mailing Address
First Line	:	1200 NW NAITO PKWY
Second Line	:	SUITE 280
City	:	PORTLAND
State	:	OR
Zip	:	97209-2830
Country	:	US
Telephone Number	:	503-224-5241
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 NW NAITO PKWY
Second Line	:	SUITE 280
City	:	PORTLAND
State	:	OR
Zip	:	97209-2830
Country	:	US
Telephone Number	:	503-224-5241
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2008
Last Update Date	:	10/13/2008

Similar Medicare Providers

1760566368 — JUDITH A NIGRO DO
Practice Location Address:

1200 NW NAITO PKWY , STE. 200
PORTLAND, OR
97209-2830

Practice Phone: 503-943-2340
Practice Fax: 503-248-4733

1225245491 — DR. EDWARD WILLIAM VIEN
Practice Location Address:

921 SW WASHINGTON ST , #758
PORTLAND, OR
97205-2830

Practice Phone: 503-274-7701
Practice Fax:

1396226783 — DR. MICHALA CHRISTINE WILLIAMS PT, DPT
Practice Location Address:

640 OCEAN AVE
PORTLAND, ME
04103-2830

Practice Phone: 207-221-7100
Practice Fax:

1124241674 — DR. RALPH HARRISON BEAUMONT M.D.
Practice Location Address:

1314 NW IRVING ST , SUITE 709
PORTLAND, OR
97209-2721

Practice Phone: 503-279-8826
Practice Fax: 503-241-8825

1972795748 — MS. NANCY JEAN DAVIDIAN LCSW
Practice Location Address:

1962 NW KEARNEY STREET , SUITE 103
PORTLAND, OR
97209

Practice Phone: 503-624-7167
Practice Fax:

1861350753 — ATTUNED BODYWORK CARE
Practice Location Address:

1200 NW MARSHALL ST STE 4350
PORTLAND, OR
97209-3196

Practice Phone: 503-420-8190
Practice Fax:

Directions to “ MS. KATHLEEN REICKER M.S.W., L.C.S.W” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.