Provider Demographics
NPI:1205966637
Name:SANGSTER, DAVID
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:SANGSTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8112 N CLARENDON AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97203-6032
Mailing Address - Country:US
Mailing Address - Phone:503-997-4984
Mailing Address - Fax:
Practice Address - Street 1:8112 N CLARENDON AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97203-6032
Practice Address - Country:US
Practice Address - Phone:503-997-4984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health