Provider Demographics
NPI:1568970218
Name:SOMERA, KARI J (MA)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:J
Last Name:SOMERA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1318 EAGLE TRL
Mailing Address - Street 2:
Mailing Address - City:COPPERAS COVE
Mailing Address - State:TX
Mailing Address - Zip Code:76522-1966
Mailing Address - Country:US
Mailing Address - Phone:503-704-1680
Mailing Address - Fax:
Practice Address - Street 1:1318 EAGLE TRL
Practice Address - Street 2:
Practice Address - City:COPPERAS COVE
Practice Address - State:TX
Practice Address - Zip Code:76522-1966
Practice Address - Country:US
Practice Address - Phone:503-704-1680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-16
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC5914101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional