Individual
MS. SANDRA SOLOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
291 W 12TH AVE, EUGENE, OR 97401-3409
(541) 485-7039
(541) 338-9365
Mailing address
291 W 12TH AVE, EUGENE, OR 97401-3409
(541) 485-7039
(541) 338-9365
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0136
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115743
MENTAL HEALTH NETWORK
OR
01
—
J917601
PACIFICSOURCE INSURANCE
OR
Enumeration date
10/12/2006
Last updated
07/08/2007
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