Individual
SARA CLAY GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4916 NE 23RD AVE, PORTLAND, OR 97211-5844
(503) 475-8880
Mailing address
4916 NE 23RD AVE, PORTLAND, OR 97211-5844
(503) 475-8880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3980
OR
Other
Enumeration date
09/20/2008
Last updated
09/20/2008
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