Individual
MRS. SHARON PUNIVAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MC
Contact information
Practice address
33 NW BROADWAY, PORTLAND, OR 97209-3580
(503) 228-7134
(503) 445-0749
Mailing address
33 NW BROADWAY, PORTLAND, OR 97209-3580
(503) 228-7134
(503) 445-0749
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
539372-10
—
HI
Enumeration date
06/06/2008
Last updated
06/26/2014
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