Individual provider · Type 1 NPI

Richard L. Sansom, LPC

Professional Counselor · Gresham, OR

NPI number 1861638405 Active

Practice location

123 E Powell Blvd, Suite # 303
Gresham, OR 97030-7624

Call (503) 784-8813 Map

Fax (503) 666-5103

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC1478 (OR)

Professional Counselor: Definition to come...

5 other providers at this address

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About NPI 1861638405

Richard L. Sansom, LPC's National Provider Identifier is 1861638405, issued on Jan 4, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Gresham, OR. The record was last updated on Jan 4, 2009.