Sara Denise Bourdon
Individual provider Active NPI Mental Health Counselor · Wilsonville, OR
NPI 1326816752 · NPPES record last updated Jan 13, 2025
Key facts
- NPI
- 1326816752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 29120 SW San Remo CT
Wilsonville, OR 97070-7373 - Phone
- (503) 682-1840
- Fax
- (503) 682-1873
- NPI assigned
- Dec 14, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| Columbiacare Services | Past |
Accepting new patients | |
| Columbia Care Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
29120 SW San Remo CT
Wilsonville, OR 97070-7373
Mailing address
3587 Heathrow Way
Medford, OR 97504-4004
Phone (541) 858-8170
Other providers in Wilsonville, OR
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- Boones Landing Physical Therapy LLC
- Cindy D Bothum-Haslebacher
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- Jasyn-Christy Ann Bourne
- Ann Mariko Bouse
- Annika Bowlsby McBride
- Melissa Boyd
- Melissa Brackle
All providers in Wilsonville, OR · Mental Health 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 Jan 13, 2025. 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.