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SARA FULLER LMHCA, LPC INTERN
NPI 1750996104
Counselor - Mental Health in Portland, OR

Active since September 12, 2020
3583 NE BROADWAY ST, PORTLAND, OR 97232(503) 912-8939 Get Directions Write a Review

NPPES record last updated: August 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2021, Sep 12, 2020 (2 updates tracked since 2020).

About Sara Fuller Lmhca, Lpc Intern NPPES

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

SARA FULLER LMHCA, LPC INTERN (NPI 1750996104) is an individual mental health provider in Portland, Oregon, licensed in Oregon (R5544) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1750996104
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSARA FULLERCredential: LMHCA, LPC INTERN
Location Address3583 NE BROADWAY STPortland, OR 97232-1820
Mailing Address2425 Ne 50th Ave, # 13656Portland, OR 97213-0030 · (503) 912-8939
Phone(503) 912-8939
Sole ProprietorYes
Enumeration DateSeptember 12, 2020
Last NPPES UpdateAugust 17, 20212 updates tracked since enumeration
NPPES CertifiedMay 29, 2021
✔ NPI 1750996104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · R5544
3583 NE BROADWAY ST, Portland, OR 97232
Open in Google Maps ↗

Other Providers at the Same Location NPPES 7

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

PAUL T GIGER MD
Psychiatry & Neurology (Psychiatry)
3583 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 284-1838
ATHENA PHILLIPS LCSW
Social Worker (Clinical)
3583 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 819-4181
LAUREN MERRELL DNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3583 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 218-3866
CARLA CANFIELD LCSW
Social Worker (Clinical)
3583 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 446-6228
ANDREW R PROCHNIAK LPC
Counselor (Professional)
3583 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (262) 880-0560
DR. MAURA D. SULLIVAN PSY.D.
Psychologist (Clinical)
3583 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 432-8470
LAUREL MARSHALL COUNSELING
Clinic/Center (Adult Mental Health)
3583 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 298-9219

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 Sara Fuller's NPI number?

The NPI number for Sara Fuller is 1750996104. It was assigned to this individual provider in the NPPES registry on September 12, 2020.

Where is Sara Fuller located?

Sara Fuller practices at 3583 NE Broadway St, Portland, OR 97232. The listed phone number is (503) 912-8939.

What is Sara Fuller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Sara Fuller was last updated on August 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.