Organization
SARAH WILSON COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH CATHERINE WILSON LPC (CHILD, ADULT AND FAMILY THERAPIST)
(503) 729-2920
Entity
Organization
Contact information
Practice address
1135 SE SALMON ST, UNIT 101, PORTLAND, OR 97214-3375
(503) 729-2920
Mailing address
1135 SOUTHEAST SALMON STREET, UNIT 101, PORTLAND, OR 97214
(503) 729-2920
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
C3951
OR
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
C3951
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C3951
LPC
OR
Enumeration date
02/09/2016
Last updated
02/09/2016
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