Individual
MYRIAH SIERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 SE ALDER ST STE 301, PORTLAND, OR 97214-2400
(510) 646-0807
(541) 292-5849
Mailing address
1110 SE ALDER ST STE 301, PORTLAND, OR 97214-2400
(510) 646-0807
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
60599
CA
1041C0700X
Clinical Social Worker
Primary
L7937
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2012
Last updated
08/05/2022
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