Provider Demographics
NPI:1679083018
Name:OSBORN, SARAH B (LPC, LMHC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:B
Last Name:OSBORN
Suffix:
Gender:F
Credentials:LPC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73821 LINDBERG RD
Mailing Address - Street 2:
Mailing Address - City:RAINIER
Mailing Address - State:OR
Mailing Address - Zip Code:97048-3311
Mailing Address - Country:US
Mailing Address - Phone:503-369-3198
Mailing Address - Fax:
Practice Address - Street 1:1500 NW BETHANY BLVD STE 310&320
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97006-5208
Practice Address - Country:US
Practice Address - Phone:971-762-3046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-11
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61387665101YP2500X
ORC7620101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional