MEDICARE: SARAH BETH JURRENS 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	C9779	OR

General Provider Information

NPI Number	:	1942782511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH BETH JURRENS LPC, LMHC

Provider Business Mailing Address
First Line	:	5441 S MACADAM AVE STE 4165
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97239-6106
Country	:	US
Telephone Number	:	503-386-0787
Fax Number	:

Provider Business Practice Location Address
First Line	:	10915 SW 57TH AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97219-6619
Country	:	US
Telephone Number	:	503-386-0787
Fax Number	:

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

Provider Enumeration Date	:	08/30/2018
Last Update Date	:	04/22/2026

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