Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sage Longbotham

Individual provider Mental Health Counselor · NPI 1508548660

Sage Longbotham is a Mental Health Counselor in Tigard, Oregon. Licensed in Oregon. Registered with an NPI since 2023.

Licensed in
OR
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

8915 SW Center St
Tigard, OR 97223-6307
Phone: (503) 726-3740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SC61562531 (OR)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1508548660
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 7, 2023
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024
Mailing address8915 Sw Center St, Tigard, OR 97223-6307

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