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Organization
SOKYAHEALTH MEDICAL GROUP PC
Active
Organization
SOKYAHEALTH MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA CASTANEDA (DIRECTOR OF CRED)
(866) 657-6592
Entity
Organization
Contact information
Practice address
4800 S MACADAM AVE STE 230, PORTLAND, OR 97239-3927
(866) 657-6592
Mailing address
PO BOX 601422, SAN DIEGO, CA 92160-1422
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/03/2021
Last updated
04/02/2025
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