SARA CASSANDRA PEDDICORD NPI 1649802737

NPI Information

NPI: 1649802737
Provider Name: SARA CASSANDRA PEDDICORD
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
9123 SE SAINT HELENS ST STE 275C
CLACKAMAS, OR
ZIP 97015
Phone: (541) 316-8234
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Sara Cassandra Peddicord is a counselor in Clackamas, OR. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Sara Cassandra Peddicord NPI is 1649802737. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9123 SE SAINT HELENS ST STE 275C
CLACKAMAS, OR
ZIP 97015-858
Phone: (541) 316-8234

The enumeration date for this NPI number is 2/7/2020 and was last updated on 2/7/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor			OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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