Provider Demographics
NPI:1871218925
Name:WASHBURN, SARAH ANNE (CRC, LPC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ANNE
Last Name:WASHBURN
Suffix:
Gender:F
Credentials:CRC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:544 CLARMOUNT ST NW
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97304-4321
Mailing Address - Country:US
Mailing Address - Phone:503-383-1473
Mailing Address - Fax:503-689-8361
Practice Address - Street 1:544 CLARMOUNT ST NW
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97304-4321
Practice Address - Country:US
Practice Address - Phone:503-383-1473
Practice Address - Fax:503-689-8361
Is Sole Proprietor?:No
Enumeration Date:2022-10-11
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORR7794101YM0800X
OR445977225C00000X
ORC9291101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor