Provider Demographics
NPI:1386797629
Name:LAMSON, SABIN (MS)
Entity type:Individual
Prefix:MR
First Name:SABIN
Middle Name:
Last Name:LAMSON
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1039 E 21ST AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-3013
Mailing Address - Country:US
Mailing Address - Phone:541-484-0622
Mailing Address - Fax:541-344-0323
Practice Address - Street 1:1039 E 21ST AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-3013
Practice Address - Country:US
Practice Address - Phone:541-484-0622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORPSYCH. ASSOC. #5037103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling