MEDICARE: SARA PADILLA LPC, LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LH7005780	WA
2	101YP2500X	Professional Counselor	C5626	OR

General Provider Information

NPI Number	:	1023463957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA PADILLA LPC, LMHC

Provider Business Mailing Address
First Line	:	8916 SE REGENTS DR
Second Line	:
City	:	MILWAUKIE
State	:	OR
Zip	:	97222-4140
Country	:	US
Telephone Number	:	661-378-1224
Fax Number	:

Provider Business Practice Location Address
First Line	:	1750 BLANKENSHIP RD STE 400
Second Line	:
City	:	WEST LINN
State	:	OR
Zip	:	97068-5102
Country	:	US
Telephone Number	:	503-659-5515
Fax Number	:	503-594-8193

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2016
Last Update Date	:	04/24/2026

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