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

Sara Fuller, LMHCA, LPCINTERN

Individual provider Mental Health Counselor · NPI 1750996104

Sara Fuller, LMHCA, LPCINTERN is a Mental Health Counselor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2020

Practice location Address checks out

3583 NE Broadway St
Portland, OR 97232-1820
Phone: (503) 912-8939
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence R5544 (OR)

Record details

NPI number1750996104
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHCA , LPCINTERN
Sole proprietorYes
NPI enumeratedSeptember 12, 2020
Last updated in NPPESAugust 17, 2021
Certification dateMay 29, 2021

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