ESTENIO ELIEZER SEDE EDUARDO
NPI 1013694181
Counselor - Mental Health in Mcminnville, OR

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since June 30, 2023

435 NE EVANS ST STE A, MCMINNVILLE, OR 97128(503) 472-4020 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 9, 2024, Jul 3, 2023 (2 updates tracked since 2023).

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About Estenio Eliezer Sede Eduardo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ESTENIO ELIEZER SEDE EDUARDO (NPI 1013694181) is an individual mental health provider in Mcminnville, Oregon and active in the NPI registry since June 2023. He maintains a secondary practice location in Salem.

NPPES Registry Identity

NPI1013694181

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameESTENIO ELIEZER SEDE EDUARDO

Location Address435 NE EVANS ST STE AMcminnville, OR 97128-4635

Mailing Address435 Ne Evans St Ste AMcminnville, OR 97128-4635 · (503) 472-4020

Phone(503) 472-4020

Sole ProprietorNo

Enumeration DateJune 30, 2023

Last NPPES UpdateApril 9, 20242 updates tracked since enumeration

NPPES CertifiedApril 6, 2024

✔ NPI 1013694181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

435 NE EVANS ST STE A, Mcminnville, OR 97128

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Secondary Practice Location 1

Location 11118 Oak St SESalem, OR 97301-4019 · Phone (503) 585-4949

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LESLIE GUTIERREZ

Case Manager/Care Coordinator