Individual
SARAH VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 SW EMKAY DR STE 104, BEND, OR 97702-1043
(541) 383-0844
(541) 383-0840
Mailing address
920 SW EMKAY DR STE 104, BEND, OR 97702-1043
(541) 383-0844
(541) 383-0840
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136460
—
OR
Enumeration date
10/30/2015
Last updated
01/18/2023
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