=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952694754
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SARAH OLANDA ARP-HOWARD LMFT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/26/2011
-----------------------------------------------------
Last Update Date | 10/02/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3060 NW AUTUMN ST
-----------------------------------------------------
City | CORVALLIS
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97330-3802
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-735-5253
-----------------------------------------------------
Fax | 971-266-1309
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1804 NE 45TH AVE
-----------------------------------------------------
City | PORTLAND
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97213-1416
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-735-5253
-----------------------------------------------------
Fax | 971-266-1309
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | T1171
-----------------------------------------------------
License Number State | OR
-----------------------------------------------------