Individual
SARAH J CODERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
4922 N VANCOUVER AVE, PORTLAND, OR 97217-2826
(503) 493-9398
Mailing address
4922 N VANCOUVER AVE, PORTLAND, OR 97217-2826
(503) 493-9398
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13722
OR
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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