Provider Demographics
NPI:1073776738
Name:HINDMAN, SABRINA JOYE (MED, MFTI)
Entity Type:Individual
Prefix:MS
First Name:SABRINA
Middle Name:JOYE
Last Name:HINDMAN
Suffix:
Gender:F
Credentials:MED, MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6370 SE 26TH ST
Mailing Address - Street 2:
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97080
Mailing Address - Country:US
Mailing Address - Phone:503-703-0657
Mailing Address - Fax:503-907-6508
Practice Address - Street 1:6370 SE 26TH ST
Practice Address - Street 2:
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97080
Practice Address - Country:US
Practice Address - Phone:503-703-0657
Practice Address - Fax:503-907-6508
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
OR124749106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist