Sankofa Center For Healing, LLC
Social Worker, Clinical in Portland, OR. Organization (NPI-2).
NPI number1982255311
StatusActive
Last updated in NPPESJan 9, 2020
Details
- NPI
- 1982255311
- Entity type
- Organization (NPI-2)
- Legal business name
- Sankofa Center For Healing, LLC
- Organization subpart
- No
- Enumeration date
- Sep 26, 2019
- Certification date
- Jan 9, 2020
- Last updated
- Jan 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
8885 Sw Canyon Rd Ste 109Portland, OR 97225-3431
Phone 971-800-1403
Mailing address
8885 Sw Canyon Rd Ste 109Portland, OR 97225-3431
Phone 971-800-1403
Authorized official
Zadora Williams
Owner/Lcsw
9718001403
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