Individual
SARAH ELIZABETH VELGUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 NE ROBERTS AVE APT 219, GRESHAM, OR 97030-5622
(262) 366-3319
Mailing address
1827 NE 44TH AVE STE 390, PORTLAND, OR 97213-1461
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABA-IN-10210769
OR
Other
Enumeration date
12/27/2020
Last updated
12/27/2020
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