Provider Demographics
NPI:1891034658
Name:CRAWFORD, SARAH (MC, LPC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:MC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1944 NW JOHNSON ST APT 304
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97209-1356
Mailing Address - Country:US
Mailing Address - Phone:602-432-7430
Mailing Address - Fax:
Practice Address - Street 1:1944 NW JOHNSON ST APT 304
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97209-1356
Practice Address - Country:US
Practice Address - Phone:602-432-7430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-13
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC3045101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional