Individual
MISS SIERRA RAE ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSWA
Contact information
Practice address
4425 NE BROADWAY STE 200, PORTLAND, OR 97213-1425
(503) 258-4555
Mailing address
4425 NE BROADWAY STE 200, PORTLAND, OR 97213-1425
(503) 258-4555
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
A15690
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500844820
—
OR
Enumeration date
08/15/2023
Last updated
05/13/2025
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