Individual
ISABELLE RAYA SANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 341-4798
Mailing address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
025454
NY
104100000X
Social Worker
—
—
Other
Enumeration date
08/24/2015
Last updated
02/22/2023
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