MEDICARE: SABRINA ARNOLD LPC, ASDCS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker
2	101YP2500X	Professional Counselor		OR

General Provider Information

NPI Number	:	1821516378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABRINA ARNOLD LPC, ASDCS

Provider Business Mailing Address
First Line	:	1020 SW TAYLOR ST STE 745
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97205-2505
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1020 SW TAYLOR ST STE 745
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97205-2505
Country	:	US
Telephone Number	:	971-307-9384
Fax Number	:	971-206-9350

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2017
Last Update Date	:	03/10/2025

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