Provider Demographics
NPI:1417562828
Name:SANCHEZ, RICARDO ANGEL
Entity type:Individual
Prefix:
First Name:RICARDO
Middle Name:ANGEL
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1406 NATALIE CT
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH
Mailing Address - State:OR
Mailing Address - Zip Code:97361-9105
Mailing Address - Country:US
Mailing Address - Phone:503-983-1127
Mailing Address - Fax:
Practice Address - Street 1:976 N PACIFIC HWY
Practice Address - Street 2:
Practice Address - City:WOODBURN
Practice Address - State:OR
Practice Address - Zip Code:97071-3731
Practice Address - Country:US
Practice Address - Phone:503-981-5851
Practice Address - Fax:503-566-2977
Is Sole Proprietor?:No
Enumeration Date:2020-09-11
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health