Individual
KELLY ERIN MYERS SUGAHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3530 NE AINSWORTH ST, PORTLAND, OR 97211-7353
(541) 678-3645
Mailing address
3530 NE AINSWORTH ST, PORTLAND, OR 97211-7353
(541) 678-3645
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3596
HI
1041C0700X
Clinical Social Worker
L6792
OR
Other
Enumeration date
02/09/2011
Last updated
06/23/2025
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