MEDICARE: CAROLINE SABI LPC

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	C3460	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	C3460	OTHER	OR	LPC

General Provider Information

NPI Number	:	1568854396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE SABI LPC

Provider Business Mailing Address
First Line	:	7739 SW CAPITOL HWY
Second Line	:	SUITE 270
City	:	PORTLAND
State	:	OR
Zip	:	97219-2571
Country	:	US
Telephone Number	:	503-752-3975
Fax Number	:

Provider Business Practice Location Address
First Line	:	7739 SW CAPITOL HWY
Second Line	:	SUITE 270
City	:	PORTLAND
State	:	OR
Zip	:	97219-2571
Country	:	US
Telephone Number	:	503-752-3975
Fax Number	:

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

Provider Enumeration Date	:	03/03/2015
Last Update Date	:	03/03/2015

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Directions to “ CAROLINE SABI LPC” Practice Location

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