Provider Demographics
NPI:1275315327
Name:WREN, RHEA ALLISON (MSW)
Entity Type:Individual
Prefix:
First Name:RHEA
Middle Name:ALLISON
Last Name:WREN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:RHEA
Other - Middle Name:ALLISON
Other - Last Name:WILCOX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:16700 SE STONEYBROOK CT
Mailing Address - Street 2:
Mailing Address - City:CLACKAMAS
Mailing Address - State:OR
Mailing Address - Zip Code:97015-6756
Mailing Address - Country:US
Mailing Address - Phone:714-345-9537
Mailing Address - Fax:
Practice Address - Street 1:1800 NE MARKET DR
Practice Address - Street 2:
Practice Address - City:FAIRVIEW
Practice Address - State:OR
Practice Address - Zip Code:97024-7000
Practice Address - Country:US
Practice Address - Phone:503-660-0600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-13
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORM13612104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker