Individual
NIKA SABA BOGAERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
808 SW CAMPUS DR # 14115, PORTLAND, OR 97239-3008
(503) 346-1456
(503) 346-1457
Mailing address
3720 S BOND AVE UNIT 1618, PORTLAND, OR 97239-4575
(858) 947-8875
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L11896
OR
Other
Enumeration date
06/21/2018
Last updated
09/20/2024
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