Individual
KERSTIN SANDOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 645-3581
Mailing address
10779 SW 106TH AVE, PORTLAND, OR 97223-4279
(971) 381-0745
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R11486
OR
171M00000X
Case Manager/Care Coordinator
Primary
—
OR
Other
Enumeration date
07/31/2017
Last updated
01/30/2026
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