Individual provider · Type 1 NPI

Sara A. Koyano, QMHP-C, CADC-I

Addiction (Substance Use Disorder) Counselor · Gresham, OR

NPI number 1336772417 Active

Practice location

620 NE 2nd St
Gresham, OR 97030-7514

Call (971) 274-3757 Map

Fax (503) 912-5740

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X23-07-10817 (OR)
Mental Health Counselor 101YM0800X22-QMHPC-001136 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1336772417

Sara A. Koyano, QMHP-C, CADC-I's National Provider Identifier is 1336772417, issued on Feb 18, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gresham, OR. The record was last updated on Aug 5, 2026.