Individual
SOPHIA JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT ASSOCIATE
Contact information
Practice address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(503) 662-2545
(458) 246-1640
Mailing address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(503) 662-2545
(458) 246-1640
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
R8712
OR
Other
Enumeration date
02/22/2022
Last updated
01/02/2024
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