Individual
SAETIA ANAIS GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1132 SW 13TH AVE, PORTLAND, OR 97205-1703
(503) 445-0981
Mailing address
9585 N LOMBARD ST, PORTLAND, OR 97203-2109
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17587
OR
1041C0700X
Clinical Social Worker
Primary
—
OR
Other
Enumeration date
12/15/2025
Last updated
04/24/2026
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