Provider Demographics
NPI:1780138248
Name:CHRESFIELD, RAESHAWN (LPC, PHD)
Entity type:Individual
Prefix:DR
First Name:RAESHAWN
Middle Name:
Last Name:CHRESFIELD
Suffix:
Gender:F
Credentials:LPC, PHD
Other - Prefix:DR
Other - First Name:RAE
Other - Middle Name:
Other - Last Name:CHRESFIELD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC, PHD
Mailing Address - Street 1:PO BOX 20214
Mailing Address - Street 2:4048 NE 122 AVENUE
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97294-0214
Mailing Address - Country:US
Mailing Address - Phone:503-862-3286
Mailing Address - Fax:
Practice Address - Street 1:5415 SE MILWAUKIE AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-4940
Practice Address - Country:US
Practice Address - Phone:503-862-3286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-12
Last Update Date:2016-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC4201101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health