UNKNOWN REV PALLEBAGE SARANA
NPI 1982473823
Counselor - Mental Health in Portland, OR
Active since December 20, 2023
About Unknown Rev Pallebage Sarana NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UNKNOWN REV PALLEBAGE SARANA (NPI 1982473823) is an individual mental health provider in Portland, Oregon and active in the NPI registry since December 2023.
NPPES Registry Identity
NPI1982473823
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameUNKNOWN REV PALLEBAGE SARANA
Location Address605 SE CESAR E CHAVEZ BLVDPortland, OR 97214-3216
Mailing Address605 Se Cesar E Chavez BlvdPortland, OR 97214-3216 · (503) 231-7480
Phone(503) 231-7480
Sole ProprietorNo
Enumeration DateDecember 20, 2023
NPPES CertifiedDecember 20, 2023
✔ NPI 1982473823 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
605 SE CESAR E CHAVEZ BLVD, Portland, OR 97214
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 (Mental Health)
605 SE CESAR E CHAVEZ BLVD
PORTLAND, OR 97214
PORTLAND, OR 97214
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982473823, enumerated as an "individual" on December 20, 2023.
The provider is located at 605 SE CESAR E CHAVEZ BLVD PORTLAND, OR 97214 and the phone number is (503) 231-7480.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.