SARA J YOUNG PSS CRMII QMHA CADCI NPI 1265084685

NPI Information

NPI: 1265084685
Provider Name: SARA J YOUNG, PSS CRMII QMHA CADCI
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1027 E BURNSIDE ST
PORTLAND, OR
ZIP 97214
Phone: (503) 239-8444
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Sara J Young, PSS CRMII QMHA CADCI is an addiction (substance use disorder) counselor in Portland, OR. Sara J Young, PSS CRMII QMHA CADCI NPI is 1265084685. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1027 E BURNSIDE ST
PORTLAND, OR
ZIP 97214-328
Phone: (503) 239-8444
Fax: (503) 239-8400

The enumeration date for this NPI number is 7/15/2019 and was last updated on 5/18/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	T-20-112	OREGON	No
2	101YM0800X	Counselor	Mental Health	19-QMHA-I-02752	OREGON	No
3	175T00000X	Peer Specialist		THW000003584	OREGON	No
4	101YA0400X	Counselor	Addiction (Substance Use Disorder)	22-03-10374	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	22-03-10374	OTHER	OREGON	MHACBO
2	21-CRM-II-0020	OTHER	OREGON	MHACBO
3	THW000003584	OTHER	OREGON	OREGON HEALTH AUTHORITY
4	19-QMHA-I-02752	OTHER	OREGON	MHACBO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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