Sage Longbotham, is a
Social Worker - Clinical based in Tigard, Oregon. Sage Longbotham is licensed to practice in Oregon (license number SC61562531) and her current practice location is
8915 Sw Center St, Tigard, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 726-3740.
NPI number for Sage Longbotham is 1508548660 and her current mailing address is 8915 Sw Center St, Tigard, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508548660.
Healthcare Provider's Profile
Full Name | Sage Longbotham |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 8915 Sw Center St, Tigard, Oregon |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508548660
- Provider Enumeration Date: 08/07/2023
- Last Update Date: 10/17/2024
Medical Identifiers
Medical identifiers for Sage Longbotham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508548660 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | SC61562531 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sage Longbotham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sage Longbotham, 8915 Sw Center St, Tigard, OR 97223-6307 Ph: (503) 726-3740 | Sage Longbotham, 8915 Sw Center St, Tigard, OR 97223-6307 Ph: (503) 726-3740 |
Reviews and Comments