Provider Demographics
NPI:1457439903
Name:RIENAS, GABRIELE (LPC)
Entity Type:Individual
Prefix:
First Name:GABRIELE
Middle Name:
Last Name:RIENAS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20863 SW VICKI LN
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97007-7542
Mailing Address - Country:US
Mailing Address - Phone:503-705-9230
Mailing Address - Fax:
Practice Address - Street 1:5585 SW 209TH AVE
Practice Address - Street 2:
Practice Address - City:ALOHA
Practice Address - State:OR
Practice Address - Zip Code:97007-1081
Practice Address - Country:US
Practice Address - Phone:503-636-4176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1331101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health