| Doctor Name: | SABRINA JEN WALTERS |
| NPI Number: | 1003029000 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, LMFT |
| License Number: | C1890 |
| Business Practice Address: | 21210 Nw Mauzey Rd Hillsboro, OR - 97124 |
| Business Phone Number: | 5034399531 |
| Business Fax Number: | 5035313841 |
| Mailing Address: | 16849 Nw Paisley Dr, BEAVERTON |
| State: | OR |
| Postal Code: | 970064704 |
| Phone Number: | 5034390364 |
| Fax Number: | |
| NPI Enumeration Date: | 05/07/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | C1890 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |