Individual
MRS. RACHAEL SUTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9450 SW BARNES RD STE 200, PORTLAND, OR 97225-6638
(503) 216-4738
Mailing address
9401 NW GERMANTOWN RD, PORTLAND, OR 97231-2719
(503) 216-4738
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A3884
OR
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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