Provider Demographics
NPI:1821503921
Name:LAKE, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:LAKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2002 SW SALMON AVE APT 302
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-6763
Mailing Address - Country:US
Mailing Address - Phone:541-516-4099
Mailing Address - Fax:541-527-3159
Practice Address - Street 1:850 SW 4TH ST
Practice Address - Street 2:
Practice Address - City:MADRAS
Practice Address - State:OR
Practice Address - Zip Code:97741-9628
Practice Address - Country:US
Practice Address - Phone:541-516-4099
Practice Address - Fax:541-527-3159
Is Sole Proprietor?:No
Enumeration Date:2017-12-11
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health