Provider Demographics
NPI:1750757944
Name:BARBUTO, SARAH NICOLE (MS)
Entity type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:NICOLE
Last Name:BARBUTO
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 1:530 NW 27TH ST
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-5223
Mailing Address - Country:US
Mailing Address - Phone:541-766-6835
Mailing Address - Fax:541-766-6186
Practice Address - Street 1:435 E ALDER ST
Practice Address - Street 2:
Practice Address - City:ALSEA
Practice Address - State:OR
Practice Address - Zip Code:97324-9634
Practice Address - Country:US
Practice Address - Phone:541-487-7116
Practice Address - Fax:541-487-4076
Is Sole Proprietor?:No
Enumeration Date:2015-08-11
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist