Individual
NICOLETTE SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4531 SE BELMONT ST, STES. #117 AND #118, PORTLAND, OR 97215
(971) 361-8303
Mailing address
10638 NW 4TH ST, PORTLAND, OR 97231-1015
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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