JONATHAN SANDOVAL QMHA
NPI 1154896462
Counselor - Addiction (Substance Use Disorder) in Phoenix, OR

Active since October 12, 2018
149 S MAIN ST, PHOENIX, OR 97535(541) 535-4133 Get Directions Write a Review

NPPES record last updated: October 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jonathan Sandoval Qmha NPPES

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

JONATHAN SANDOVAL QMHA (NPI 1154896462) is an individual addiction (substance use disorder) provider in Phoenix, Oregon and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1154896462
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJONATHAN SANDOVALCredential: QMHA
Location Address149 S MAIN STPhoenix, OR 97535-6631
Mailing Address2644 Carr StWhite City, OR 97503-1104
Sole ProprietorYes
Enumeration DateOctober 12, 2018
NPI 1154896462 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
149 S MAIN ST, Phoenix, OR 97535

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.

Counselor
149 S MAIN ST
PHOENIX, OR 97535
Counselor
149 S MAIN ST
PHOENIX, OR 97535
Counselor (Mental Health)
149 S MAIN ST
PHOENIX, OR 97535
Counselor (Addiction (Substance Use Disorder))
149 S MAIN ST
PHOENIX, OR 97535
Counselor (Addiction (Substance Use Disorder))
149 S MAIN ST
PHOENIX, OR 97535
Counselor
149 S MAIN ST
PHOENIX, OR 97535
Counselor (Mental Health)
149 S MAIN ST
PHOENIX, OR 97535
Counselor (Mental Health)
149 S MAIN ST
PHOENIX, OR 97535

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 Jonathan Sandoval's NPI number?

The NPI number for Jonathan Sandoval is 1154896462. It was assigned to this individual provider in the NPPES registry on October 12, 2018.

Where is Jonathan Sandoval located?

Jonathan Sandoval practices at 149 S Main St, Phoenix, OR 97535. The listed phone number is (541) 535-4133.

What is Jonathan Sandoval'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 Jonathan Sandoval was last updated on October 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.