Provider Demographics
NPI:1710517826
Name:ACUNA, SARAH LYNNE
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LYNNE
Last Name:ACUNA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3007
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97208-3007
Mailing Address - Country:US
Mailing Address - Phone:503-535-1151
Mailing Address - Fax:
Practice Address - Street 1:400 VIRGINIA AVE STE 201
Practice Address - Street 2:
Practice Address - City:NORTH BEND
Practice Address - State:OR
Practice Address - Zip Code:97459-3444
Practice Address - Country:US
Practice Address - Phone:541-492-0229
Practice Address - Fax:541-751-9958
Is Sole Proprietor?:No
Enumeration Date:2020-01-17
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)