Healthcare Provider Details

I. General information

NPI: 1003029000
Provider Name (Legal Business Name): SABRINA JEN WALTERS LPC, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21210 NW MAUZEY RD
HILLSBORO OR
97124
US

IV. Provider business mailing address

16849 NW PAISLEY DR
BEAVERTON OR
97006-4704
US

V. Phone/Fax

Practice location:
  • Phone: 503-439-9531
  • Fax: 503-531-3841
Mailing address:
  • Phone: 503-439-0364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC1890
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberT0546
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: