MEDICARE: MS. SARAH LYNN SATTER MSW, QMHP

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

General Provider Information

NPI Number	:	1053466292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SARAH LYNN SATTER MSW, QMHP

Provider Business Mailing Address
First Line	:	4212 SE DIVISION ST.
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97206
Country	:	US
Telephone Number	:	503-238-0705
Fax Number	:	503-236-7166

Provider Business Practice Location Address
First Line	:	4212 SE DIVISION ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97206-1628
Country	:	US
Telephone Number	:	503-238-0705
Fax Number	:	503-236-7166

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

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	05/12/2015

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