Provider Demographics
NPI:1588944417
Name:ECKSTEIN, SARAH LAUREN (PHD, MS)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:LAUREN
Last Name:ECKSTEIN
Suffix:
Gender:F
Credentials:PHD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 NE 136TH AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-6937
Mailing Address - Country:US
Mailing Address - Phone:503-893-9889
Mailing Address - Fax:503-386-2645
Practice Address - Street 1:701 NE 136TH AVE STE 200
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-6937
Practice Address - Country:US
Practice Address - Phone:503-893-9889
Practice Address - Fax:503-386-2645
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-23
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
OR3086103TC1900X
WAPY61296860103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty