Provider Demographics
NPI:1114386364
Name:MORAIS, RHEA
Entity Type:Individual
Prefix:
First Name:RHEA
Middle Name:
Last Name:MORAIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2256 N ALBINA AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97227-1774
Mailing Address - Country:US
Mailing Address - Phone:503-410-3044
Mailing Address - Fax:
Practice Address - Street 1:2256 N ALBINA AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97227-1774
Practice Address - Country:US
Practice Address - Phone:831-905-3310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-16
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORR6939101YM0800X
372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health