Healthcare Provider Details

I. General information

NPI: 1023463957
Provider Name (Legal Business Name): SARA PADILLA LPC, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2016
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1750 BLANKENSHIP RD STE 400
WEST LINN OR
97068-5102
US

IV. Provider business mailing address

8916 SE REGENTS DR
MILWAUKIE OR
97222-4140
US

V. Phone/Fax

Practice location:
  • Phone: 503-659-5515
  • Fax: 503-594-8193
Mailing address:
  • Phone: 661-378-1224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH7005780
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC5626
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: