Individual provider · Type 1 NPI

Lisa Janine Sandine

Mental Health Counselor · Tigard, OR

NPI number 1780563403 Active

Practice location

10580 SW Mcdonald St Ste 202
Tigard, OR 97224-4800

Mailing address

17249 SW Greengate Dr
Sherwood, OR 97140-6927

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1780563403

Lisa Janine Sandine's National Provider Identifier is 1780563403, issued on Aug 27, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tigard, OR. The record was last updated on Aug 27, 2025.