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Contact Information

SARAH BRODERICK, ED.S., NCSP
7200 NE 11TH AVE
PORTLAND, OR97211-4096
 Phone: 503-916-6282
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SARAH BRODERICK · (Female)

NPI # 1265327894
Status Active
Credentials ED.S., NCSP
Entity Individual
Enumeration date 06/12/2025
Last updated 06/12/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • OR License # 523090
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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