Provider Demographics
NPI:1942696166
Name:KAUFMAN, SARAH (MS)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1849 WILLAMETTE ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-4683
Mailing Address - Country:US
Mailing Address - Phone:541-908-2744
Mailing Address - Fax:
Practice Address - Street 1:1849 WILLAMETTE ST
Practice Address - Street 2:SUITE 4
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-4683
Practice Address - Country:US
Practice Address - Phone:541-908-2744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-14
Last Update Date:2015-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORR3361106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist