Individual
MIRANDA SOFE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSWA
Contact information
Practice address
EAST PORTLAND 1500 NE IRVING, STE 210, PORTLAND, OR 97232
(425) 477-4215
Mailing address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(406) 794-3226
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A14555
OR
1041C0700X
Clinical Social Worker
Primary
L18191
OR
Other
Enumeration date
11/21/2023
Last updated
07/07/2026
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