SARAH MAE GORHAM
NPI 1679931232
Counselor - Mental Health in Medford, OR
Active since February 10, 2016
About Sarah Mae Gorham NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SARAH MAE GORHAM (NPI 1679931232) is an individual mental health provider in Medford, Oregon and active in the NPI registry since February 2016.
NPPES Registry Identity
NPI1679931232
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSARAH MAE GORHAM
Location Address200 BEATTY STMedford, OR 97501-5811
Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373
Phone(541) 476-2373
Sole ProprietorNo
Enumeration DateFebruary 10, 2016
Last NPPES UpdateJanuary 25, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2021
✔ NPI 1679931232 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
200 BEATTY ST, Medford, OR 97501
Other Names 1
Former Name (1)Sarah Mae Dunphy
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679931232, enumerated as an "individual" on February 10, 2016.
The provider is located at 200 BEATTY ST MEDFORD, OR 97501 and the phone number is (541) 476-2373.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
