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Contact Information

RAINER Q RIVENBURGH, MAAT, ATR-BC, LPC
3905 SW VACUNA ST
PORTLAND, OR97219-7471
 Phone: 206-605-6208
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Art Therapist

221700000X
Indicates primary specialty

NPI Profile & details for RAINER Q RIVENBURGH · (Male)

NPI Number 1215527213
Status Active
Credentials MAAT, ATR-BC, LPC
Entity Individual
Enumeration date 01/22/2021
Last updated 08/09/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OR License # ART-T-10209883
  • OR License # C6010
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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