Individual
SARAH E NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
707 SW 9TH ST, REDMOND, OR 97756-2726
(541) 330-4778
Mailing address
PO BOX 615, REDMOND, OR 97756-0120
(541) 330-4778
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L2132
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090479
—
OR
Enumeration date
08/11/2006
Last updated
07/08/2007
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