Provider First Line Business Practice Location Address:
2610 SE CLINTON ST.
Provider Second Line Business Practice Location Address:
RACHAEL PATORAY, LPC, ATR SUITE E
Provider Business Practice Location Address City Name:
PORTLAND
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97202-1273
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-462-7146
Provider Business Practice Location Address Fax Number:
971-220-7858
Provider Enumeration Date:
12/29/2008