Individual
SERE RACHEL SANTA ANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
11740 SW 68TH PKWY STE 200, PORTLAND, OR 97223-9058
(971) 266-1969
Mailing address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(971) 266-1969
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
R8173
OR
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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