Provider Demographics
NPI:1336312826
Name:WARD, SARAH ANN (LMFT, MS)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ANN
Last Name:WARD
Suffix:
Gender:F
Credentials:LMFT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4707 SW KELLY AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-4252
Mailing Address - Country:US
Mailing Address - Phone:503-407-1816
Mailing Address - Fax:
Practice Address - Street 1:4707 SW KELLY AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-4252
Practice Address - Country:US
Practice Address - Phone:503-407-1816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-07
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT0661106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist