Individual
DINA SARAI RIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3400 STATE ST STE G750, SALEM, OR 97301-7012
(541) 900-4285
Mailing address
509 WARREN WAY, WOODBURN, OR 97071-5862
(971) 240-3004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L11041
OR
Other
Enumeration date
12/02/2016
Last updated
09/10/2024
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