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Individual

SUTANGRAT RIAH SORN-AMPAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1942 NW KEARNEY ST STE 11, PORTLAND, OR 97209-1463
(971) 254-1357
Mailing address
5441 S MACADAM AVE STE A, PORTLAND, OR 97239-3822

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
03/28/2024
Last updated
05/06/2026
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