Provider Demographics
NPI:1093976672
Name:SANCHEZ, SUZANNE MARIE (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:MARIE
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:MS
Other - First Name:SUZANNE
Other - Middle Name:MARIE
Other - Last Name:HERR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:8880 SW GARDEN HOME RD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97223-7055
Mailing Address - Country:US
Mailing Address - Phone:971-421-5439
Mailing Address - Fax:971-266-4937
Practice Address - Street 1:9725 SW BEAVERTON HILLSDALE HWY STE 210A
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-3365
Practice Address - Country:US
Practice Address - Phone:971-421-5439
Practice Address - Fax:971-266-4937
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-17
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health