Provider Demographics
NPI:1578165684
Name:SADORA, JUDITH (LMFT)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:
Last Name:SADORA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4247 NW 39TH DR
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-3405
Mailing Address - Country:US
Mailing Address - Phone:702-523-0228
Mailing Address - Fax:
Practice Address - Street 1:20332 EMPIRE AVE STE F7
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97703-5712
Practice Address - Country:US
Practice Address - Phone:702-523-0228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-12
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT1642101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health