Provider Demographics
NPI:1770108961
Name:SAGAWA, SARAH M (MA, LMHC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:M
Last Name:SAGAWA
Suffix:
Gender:
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 N GOING ST APT 3
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97217-3092
Mailing Address - Country:US
Mailing Address - Phone:503-567-8295
Mailing Address - Fax:
Practice Address - Street 1:3305 MAIN ST STE 9
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-2272
Practice Address - Country:US
Practice Address - Phone:503-567-8295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-12
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61207575101YM0800X
WALH61517278101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health