SAGE LONGBOTHAM

Social Worker - Clinical

Active Individual
NPI: 1508548660

Practice Address

8915 SW CENTER ST
Tigard, OR 97223

Phone: (503) 726-3740

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X No -
Social Worker - Clinical 1041C0700X Yes SC61562531 (OR)

Frequently Asked Questions

NPI 1508548660 is the National Provider Identifier for SAGE LONGBOTHAM, a Social Worker - Clinical provider located in Tigard, OR. This NPI was enumerated on August 7, 2023.
SAGE LONGBOTHAM practices at 8915 SW CENTER ST, Tigard, OR 97223.

Quick Facts

NPI
1508548660
Type
Individual
Enumerated
Aug 7, 2023
Last Updated
Oct 17, 2024

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