CHARLES KEITH SANBORN
NPI 1083279640
Counselor - Addiction (Substance Use Disorder) in Prineville, OR

Active since May 08, 2019
357 NE COURT ST, PRINEVILLE, OR 97754(541) 504-7535(541) 504-7535 Get Directions Write a Review

NPPES record last updated: May 8, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charles Keith Sanborn NPPES

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

CHARLES KEITH SANBORN (NPI 1083279640) is an individual addiction (substance use disorder) provider in Prineville, Oregon, licensed in Oregon (500654390) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1083279640
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCHARLES KEITH SANBORN
Location Address357 NE COURT STPrineville, OR 97754-1936
Mailing Address357 Ne Court StPrineville, OR 97754-1936 · (541) 504-7535 · Fax (541) 504-7535
Fax(541) 504-7535
Sole ProprietorNo
Enumeration DateMay 8, 2019
NPI 1083279640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in OR · 500654390
357 NE COURT ST, Prineville, OR 97754

Other Identifiers 1

Medicaid500654390OR

Other Providers at the Same Location NPPES 10

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

Counselor (Addiction (Substance Use Disorder))
357 NE COURT ST
PRINEVILLE, OR 97754
Registered Nurse (Addiction (Substance Use Disorder))
357 NE COURT ST
PRINEVILLE, OR 97754
Nurse's Aide
357 NE COURT ST
PRINEVILLE, OR 97754
Community/Behavioral Health
357 NE COURT ST
PRINEVILLE, OR 97754
Peer Specialist
357 NE COURT ST
PRINEVILLE, OR 97754
Peer Specialist
357 NE COURT ST
PRINEVILLE, OR 97754
Peer Specialist
357 NE COURT ST
PRINEVILLE, OR 97754
Peer Specialist
357 NE COURT ST
PRINEVILLE, OR 97754

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Sanborn's NPI number?

The NPI number for Charles Sanborn is 1083279640. It was assigned to this individual provider in the NPPES registry on May 8, 2019.

Where is Charles Sanborn located?

Charles Sanborn practices at 357 NE Court St, Prineville, OR 97754. The listed phone number is (541) 504-7535.

What is Charles Sanborn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Charles Sanborn was last updated on May 8, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.