Individual
MS. SARA M CARMONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
4708 SE 65TH AVE, PORTLAND, OR 97206-4652
(503) 987-0800
Mailing address
4708 SE 65TH AVE, PORTLAND, OR 97206-4652
(503) 987-0800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7142
OR
Other
Enumeration date
02/11/2014
Last updated
06/04/2024
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