Provider Demographics
NPI:1396910675
Name:TRAWICK, SARITA (MSW)
Entity type:Individual
Prefix:
First Name:SARITA
Middle Name:
Last Name:TRAWICK
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2951 NW DIVISION ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97030-5292
Mailing Address - Country:US
Mailing Address - Phone:503-688-3802
Mailing Address - Fax:503-688-3802
Practice Address - Street 1:2951 NW DIVISION ST
Practice Address - Street 2:SUITE 120
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97030-5292
Practice Address - Country:US
Practice Address - Phone:503-688-3802
Practice Address - Fax:503-688-3802
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health