Individual
SARA JOSEPHINE DE LA TORRE RUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CSWA
Contact information
Practice address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(503) 914-1035
Mailing address
2355 STATE ST STE 101, SALEM, OR 97301-4541
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A12439
OR
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
12/22/2017
Last updated
11/25/2024
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