Healthcare Provider Details

I. General information

NPI: 1902250285
Provider Name (Legal Business Name): SARAH GUEST MS, MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH LEAMAN

II. Dates (important events)

Enumeration Date: 04/22/2016
Last Update Date: 02/03/2022
Certification Date: 02/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

384 SE COMBS FLAT RD
PRINEVILLE OR
97754-2562
US

IV. Provider business mailing address

548 NW GREYHAWK AVE
BEND OR
97703-5607
US

V. Phone/Fax

Practice location:
  • Phone: 541-447-6263
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: