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Individual

SOPHIA KATE ANTHONY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2923 NE BROADWAY ST, PORTLAND, OR 97232-1760
(503) 941-0856
Mailing address
2923 NE BROADWAY ST, PORTLAND, OR 97232-1760
(503) 941-0856

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MG61219076
WA
106H00000X
Marriage & Family Therapist
R7046
OR
106H00000X
Marriage & Family Therapist
Primary
T2733
OR

Other

Enumeration date
05/18/2020
Last updated
12/10/2024
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