Provider Demographics
NPI:1710472543
Name:CARVALHO, RAI D (LCSW)
Entity type:Individual
Prefix:
First Name:RAI
Middle Name:D
Last Name:CARVALHO
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:RYAN
Other - Middle Name:D
Other - Last Name:CARVALHO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2705 E BURNSIDE ST UNIT 206
Mailing Address - Street 2:PMB 10
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97214
Mailing Address - Country:US
Mailing Address - Phone:503-381-3437
Mailing Address - Fax:971-350-3401
Practice Address - Street 1:329 NE COUCH ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-1332
Practice Address - Country:US
Practice Address - Phone:503-453-0869
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-25
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL119871041C0700X
ORA5675104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical