Individual
SHARON ROSE ERNST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1217 NE BURNSIDE RD STE 801D, GRESHAM, OR 97030-5770
(503) 410-4600
Mailing address
236 NW ELEVEN MILE AVE, GRESHAM, OR 97030-5274
(503) 329-3072
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7866
OR
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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