Active NPI
Sarah Spear, BSW
- Counselor
- Portland, OR
National Provider Identifier
1164625778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 8494877
- Practice address
- 3431 SE 36TH Ave
Portland, OR 97202-1817 - Phone
- (503) 863-5901
- NPI assigned
- Jun 9, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 8494877 | OR | Primary |
Addresses
Primary practice location
3431 SE 36TH Ave
Portland, OR 97202-1817
Mailing address
21163 SW Dana CT
Beaverton, OR 97006-6516
Phone (503) 593-9398
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8494877 | OR | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164625778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21163 SW DANA CT",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970066516",
"telephone_number": "503-593-9398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3431 SE 36TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972021817",
"telephone_number": "503-863-5901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEAR",
"first_name": "SARAH",
"credential": "BSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OR",
"license": "8494877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.