Healthcare Provider Details

I. General information

NPI: 1679285886
Provider Name (Legal Business Name): SARAH JEAN CAIRO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2022
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 CLUB RD STE 200
EUGENE OR
97401-2460
US

IV. Provider business mailing address

44 CLUB RD STE 200
EUGENE OR
97401-2460
US

V. Phone/Fax

Practice location:
  • Phone: 541-393-5983
  • Fax: 541-393-5984
Mailing address:
  • Phone: 541-393-5983
  • Fax: 541-393-5984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC11505
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: