Healthcare Provider Details

I. General information

NPI: 1346037363
Provider Name (Legal Business Name): SEDE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2025
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

348 S PINE ST
CARLTON OR
97111-1228
US

IV. Provider business mailing address

348 S PINE ST
CARLTON OR
97111-1228
US

V. Phone/Fax

Practice location:
  • Phone: 971-297-8297
  • Fax:
Mailing address:
  • Phone: 971-297-8297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: SARAH MARIAH SEDE
Title or Position: CEO
Credential:
Phone: 971-237-6894