SUSAN REYNOLDS MA MFT NPI 1184871360

NPI Information

  • NPI: 1184871360
  • Provider Name: SUSAN REYNOLDS, MA MFT
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 9670 SW BEAVERTON HILLSDALE HWY
    BEAVERTON, OR
    ZIP 97005
  • Phone: (503) 626-9494

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NPI Details

Susan Reynolds, MA MFT is a mental health counselor in Beaverton, OR. Susan Reynolds, MA MFT NPI is 1184871360. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9670 SW BEAVERTON HILLSDALE HWY
BEAVERTON, OR
ZIP 97005-307
Phone: (503) 626-9494
Fax: (503) 646-8401

The enumeration date for this NPI number is 8/19/2008 and was last updated on 8/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1R0000WDBCHMEDICARE UPINOREGON
2164936MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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