Individual
SARA COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10033 SW 25TH AVE, PORTLAND, OR 97219-6324
(971) 258-1506
Mailing address
10033 SW 25TH AVE, PORTLAND, OR 97219-6324
(971) 258-1506
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CG60584406
WA
1041C0700X
Clinical Social Worker
Primary
L10984
OR
Other
Enumeration date
09/26/2019
Last updated
04/15/2026
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