Individual
SARA CASSANDRA PEDDICORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9123 SE SAINT HELENS ST STE 275C, CLACKAMAS, OR 97015-6858
(541) 316-8234
Mailing address
804 4TH ST, OREGON CITY, OR 97045-2304
(210) 325-1693
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OR
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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