Individual
SARAH BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
ED.S., NCSP
Contact information
Practice address
7200 NE 11TH AVE, PORTLAND, OR 97211-4096
(503) 916-6282
Mailing address
7200 NE 11TH AVE, PORTLAND, OR 97211-4096
(503) 916-6282
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
523090
OR
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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