Individual
SARA JOANNA KLUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(971) 263-4573
Mailing address
3550 N INTERSTATE, PORTLAND, OR 97227
(503) 460-5734
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
098193-1
NY
Other
Enumeration date
02/13/2019
Last updated
12/28/2021
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