Individual
SARAH POULISSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
6011 NE OREGON ST, PORTLAND, OR 97213-4300
(971) 319-4827
Mailing address
5441 S MACADAM AVE # 5534, PORTLAND, OR 97239-6106
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6864
OR
Other
Enumeration date
11/25/2013
Last updated
03/09/2026
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