Heaverlo, Sarah J

Heaverlo, Sarah J is an individual health care provider with primary practice located at 880 82Nd Dr , Gladstone OR 97027-1803. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Heaverlo, Sarah J can be contacted via phone (503) 659-5515.

Contact Information

Primary practice address
880 82Nd Dr Gladstone OR 97027-1803
Phone: (503) 659-5515
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C2367 Oregon

Profile Details

NPI number 1568620011
LBN Legal business name Heaverlo, Sarah J
Credentials LPC, CADCI, ERPSCC
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2008
Last updated Feb 10th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568620011 NPPES
Oregon MEDICAID 0000WDBCH

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