| Doctor Name: | RACHEL KVAMME |
| NPI Number: | 1003080284 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 2605 |
| Business Practice Address: | 3181 Sw Sam Jackson Park Rd Uhn-88 Portland, OR - 972393011 |
| Business Phone Number: | 5034180169 |
| Business Fax Number: | |
| Mailing Address: | Po Box 3158, PORTLAND |
| State: | OR |
| Postal Code: | 972083158 |
| Phone Number: | 5032161500 |
| Fax Number: | |
| NPI Enumeration Date: | 04/17/2008 |
| NPI Last Update Date: | 11/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 2605 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |