Booth, Sara Ann

Booth, Sara Ann is an sole proprietor health care provider with primary practice located at 3415 Se Powell Blvd , Portland OR 97202-3371. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Booth, Sara Ann can be contacted via phone (309) 310-8624.

Contact Information

Primary practice address
3415 Se Powell Blvd Portland OR 97202-3371
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X

Profile Details

NPI number 1659550937
LBN Legal business name Booth, Sara Ann
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2007
Last updated Nov 29th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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