Provider Demographics
NPI:1851374425
Name:LAJOY, SANDRA ARLENE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:ARLENE
Last Name:LAJOY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7130 SW 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97219-2114
Mailing Address - Country:US
Mailing Address - Phone:503-246-1090
Mailing Address - Fax:
Practice Address - Street 1:425 2ND ST
Practice Address - Street 2:SUITE 200
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97034-3151
Practice Address - Country:US
Practice Address - Phone:503-299-4989
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR11001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical