Sara ER Bates, QMHP
Individual provider Active NPI Mental Health Counselor · Gresham, OR
NPI 1891210167 · NPPES record last updated Aug 8, 2017
Key facts
- NPI
- 1891210167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 620 NE 2ND St
Gresham, OR 97030-7514 - Phone
- (503) 224-1044
- Fax
- (503) 621-2235
- NPI assigned
- Aug 8, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | OR | ||
| Mental Health Counselor | 101YM0800X | OR | Yes |
Addresses
Primary practice location
620 NE 2ND St
Gresham, OR 97030-7514
Mailing address
1776 SW Madison St
Portland, OR 97205-1715
Phone (971) 386-2278
Other providers in Gresham, OR
- Kimberly Barrientos-Sandoval
- Lisa Barrow
- Adam Randall Bartling
- Karen E Bartling
- Matthew Joseph Bartolotti
- Leanne Marie Batzko
- Maria Baumgarden
- Alexander Bautista
- Gina Marjorie Bawden
- Bonita Baxter
All providers in Gresham, 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 Aug 8, 2017. 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.