Provider Demographics
NPI:1497989669
Name:SAWYER, CHAD M (PMHNP)
Entity Type:Individual
Prefix:MR
First Name:CHAD
Middle Name:M
Last Name:SAWYER
Suffix:
Gender:M
Credentials:PMHNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3394 MILL RUN DR
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-8251
Mailing Address - Country:US
Mailing Address - Phone:817-994-5362
Mailing Address - Fax:614-742-7026
Practice Address - Street 1:182 SW ACADEMY ST
Practice Address - Street 2:SUITE 333
Practice Address - City:DALLAS
Practice Address - State:OR
Practice Address - Zip Code:97338-1996
Practice Address - Country:US
Practice Address - Phone:503-623-9289
Practice Address - Fax:503-585-0128
Is Sole Proprietor?:No
Enumeration Date:2009-05-04
Last Update Date:2016-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH06883923363LP0808X
OH18109NP363LP0808X
OR201601235NP-PP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX773-788OtherLICENSE