Mariana Sandoval
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Phoenix, OR
NPI 1194183111 · NPPES record last updated Feb 4, 2016
Key facts
- NPI
- 1194183111
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 149 S Main St
Phoenix, OR 97535-6631 - Phone
- (541) 535-4133
- NPI assigned
- Feb 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Counseling Center, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/phoenixcounseling/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
149 S Main St
Phoenix, OR 97535-6631
Mailing address
2644 Carr St
White City, OR 97503-1104
Other providers in Phoenix, OR
- Christine Carolyn Robinson
- Clint Rodreick
- Rogue Medical LLC
- Rosie P Saliger
- Jonathan Sandoval
- Dennis Wade Schepmann
- Shared Strength LLC
- Charisse Nisce Siapno
- Haamid Siddiqui
- Matthew Silvasi
All providers in Phoenix, OR · Addiction (Substance Use Disorder) Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.