Provider Demographics
NPI:1720220478
Name:HEAL, SARAH BRAY (MA, QMHP)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:BRAY
Last Name:HEAL
Suffix:
Gender:F
Credentials:MA, QMHP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ELIZABETH
Other - Last Name:BRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7916 N BRANDON AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97217-6414
Mailing Address - Country:US
Mailing Address - Phone:503-866-9872
Mailing Address - Fax:
Practice Address - Street 1:4790 N LOMBARD ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97203-4565
Practice Address - Country:US
Practice Address - Phone:503-258-4534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-26
Last Update Date:2009-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health