IndividualActive
Charles Sanborn
NPI 1083279640 · Addiction (Substance Use Disorder) Counselor · Prineville, OR
Provider details
- NPI number
- 1083279640
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 500654390 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
357 Ne Court St
Prineville, OR 97754-1936
Phone: (541) 504-7535
Fax: (541) 504-7535
Approximate (ZIP-level) locationGet directions
Mailing address
357 Ne Court St
Prineville, OR 97754-1936
Registry dates
- Enumerated
- 2019-05-08
- Last updated
- 2019-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.