Individual
SARAH E BRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12360 E BURNSIDE ST, PORTLAND, OR 97233-1042
(971) 279-4800
(971) 279-2051
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(503) 224-1044
(503) 621-2235
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L8384
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500759575
—
OR
Enumeration date
02/13/2018
Last updated
09/24/2020
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