Individual
SARENA SOLODOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9115 SW OLESON RD STE 100, PORTLAND, OR 97223-6876
(971) 236-0915
Mailing address
4901 SE 33RD AVE, PORTLAND, OR 97202-4313
(925) 337-6771
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
Y3243345
CA
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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