Individual
SANDRA WILBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BA
Contact information
Practice address
2130 SW 5TH AVE STE 210, PORTLAND, OR 97201-4938
(503) 238-0769
(503) 552-6208
Mailing address
3722 SE 15TH AVE APT 3, PORTLAND, OR 97202-3856
(503) 927-8159
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
12/21/2006
Last updated
09/11/2025
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