DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SPROUT THERAPY PDX

MEDICARE: SPROUT THERAPY PDX
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1457190969
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPROUT THERAPY PDX
Provider Business Mailing Address
First Line : 10204 SW CONESTOGA DR APT 19
Second Line :
City : BEAVERTON
State : OR
Zip : 97008-8419
Country : US
Telephone Number : 541-954-6006
Fax Number :
Provider Business Practice Location Address
First Line : 7704 N HEREFORD AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97203-3434
Country : US
Telephone Number : 971-319-4827
Fax Number :
Authorized Official
Title or Position : ASSOCIATE CLINICIAN
Name : RACHEL SWEET
Credential :
Telephone Number : 541-954-6006
Provider Enumeration Date : 05/23/2024
Last Update Date : 05/23/2024

Similar Medicare Providers

1679097091 — MS. SAMANTHA ALLISON MANDEL LPC
Practice Location Address:
7704 N HEREFORD AVE
PORTLAND, OR
97203-3434
Practice Phone: 971-319-4827
Practice Fax: 503-662-6221
1093346777 — SPROUT THERAPY PDX LLC
Practice Location Address:
7704 N HEREFORD AVE
PORTLAND, OR
97203-3434
Practice Phone: 971-319-4827
Practice Fax: 503-662-6220
1770130460 — CHELL LYN OAK LPC
Practice Location Address:
7704 N HEREFORD AVE
PORTLAND, OR
97203-3434
Practice Phone: 440-539-8455
Practice Fax:
1750993051 — MONIKA WEITZEL MSW
Practice Location Address:
7704 N HEREFORD AVE
PORTLAND, OR
97203-3434
Practice Phone: 503-780-9243
Practice Fax:
1710617162 — MEGAN CHAPMAN MA
Practice Location Address:
7704 N HEREFORD AVE
PORTLAND, OR
97203-3434
Practice Phone: 971-319-4827
Practice Fax:
1588345029 — HANNA DELYNN SKAGGS MSW
Practice Location Address:
7704 N HEREFORD AVE
PORTLAND, OR
97203-3434
Practice Phone: 971-319-4827
Practice Fax:

Directions to “SPROUT THERAPY PDX ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.