MEDICARE: SARAH RANNEY LPCA

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		OR

General Provider Information

NPI Number	:	1538022959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH RANNEY LPCA

Provider Business Mailing Address
First Line	:	4925 SE 75TH AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97206-4305
Country	:	US
Telephone Number	:	503-334-5895
Fax Number	:

Provider Business Practice Location Address
First Line	:	4925 SE 75TH AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97206-4305
Country	:	US
Telephone Number	:	503-334-5895
Fax Number	:

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

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

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Directions to “ SARAH RANNEY LPCA” Practice Location

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