Individual
SONORA CARMALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
5415 SW WESTGATE DR, PORTLAND, OR 97221-2409
(503) 645-9010
Mailing address
12712 SE LYDIA CT, PORTLAND, OR 97236-4909
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/25/2025
Last updated
10/25/2025
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