Individual
SARA EMILY HENRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1586 W THORNTON LAKE DR NW, ALBANY, OR 97321-1360
(503) 734-7404
Mailing address
1586 W THORNTON LAKE DR NW, ALBANY, OR 97321-1360
(503) 734-7404
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R8066
OR
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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