Individual
UMA SANKARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2600 CENTER ST NE, SALEM, OR 97301-2669
(503) 947-4261
Mailing address
35 NE FAILING ST, PORTLAND, OR 97212-1009
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2637
OR
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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