Provider Demographics
NPI:1144778903
Name:SANCHEZ-OAKES, KIMBERLY (CSWA, CADC II, QMHPR)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:SANCHEZ-OAKES
Suffix:
Gender:F
Credentials:CSWA, CADC II, QMHPR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19735 RIVER RD.
Mailing Address - Street 2:I
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97209
Mailing Address - Country:US
Mailing Address - Phone:971-804-8712
Mailing Address - Fax:
Practice Address - Street 1:19735 RIVER RD.
Practice Address - Street 2:I
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97209
Practice Address - Country:US
Practice Address - Phone:971-804-8712
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-21
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
ORA165841041C0700X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical