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Contact Information

RAFAEL REYNOSO HINOJOSA, LCSW
565 UNION ST NE STE 207
SALEM, OR97301-2418
 Phone: 503-630-3078
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for RAFAEL REYNOSO HINOJOSA · (Male)

NPI # 1437624400
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 10/05/2018
Last updated 10/01/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # L7699
  • OR Medicaid 500757435
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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