ONAMPAI MODI SOONDAROTOK

PORTLAND, OR
NPI1194285411
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L11071)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-22
Last Update Date2023-05-26
Business Address
ONAMPAI MODI SOONDAROTOK LCSW
2000 NE 42ND AVE # 1004
PORTLAND, OR 97213-1399
Phone number: 503-683-1558
Mailing Address
ONAMPAI MODI SOONDAROTOK LCSW
2000 NE 42ND AVE # 1004
PORTLAND, OR 97213-1399
Phone number: 503-683-1558