Individual
SARA ROSE BARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11104 SE STARK ST, PORTLAND, OR 97216-3353
(503) 960-0968
Mailing address
11104 SE STARK ST, PORTLAND, OR 97216-3353
(503) 960-0968
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-25-5330
OR
101YM0800X
Mental Health Counselor
24-QMHP-R-3044
OR
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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