Individual provider · Type 1 NPI

Sandra Kaye Gore, QMHP, CADC II

Mental Health Counselor · Enterprise, OR

NPI number 1376053363 Active

Practice location

606 Medical Pkwy
Enterprise, OR 97828-5140

Call (541) 426-4524 Map

Mailing address

PO Box 268
Enterprise, OR 97828-0268

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X25-01-205207 (OR)
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800X19-QMHPC-00535 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1376053363

Sandra Kaye Gore, QMHP, CADC II's National Provider Identifier is 1376053363, issued on Oct 4, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Enterprise, OR. The record was last updated on Apr 29, 2025.