Active NPI 1336772417 Individual Practitioner Female Practitioner

Sara A Koyano , QMHP-C, CADC-I

Counselor - Addiction (Substance Use Disorder) • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Sara Koyano, QMHP-C, CADC-I is a registered healthcare professional specializing in Counselor - Addiction (Substance Use Disorder) in Gresham, OR. Practice services are available at 620 NE 2ND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

620 Ne 2nd St

Gresham, OR 970307514

Telephone 9712743757

Fax 5039125740

Associated Practice Facility / Clinic

🏢 Native American Rehabilitation Assoc Inc Facility NPI 1942747761

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Addiction (Substance Use Disorder) in Gresham, OR

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 11.1 Yrs

Regional Practice Density

83 Specialists

Practicing in Gresham, OR (4216 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-08-05

Counselor - Addiction (Substance Use Disorder) Primary Specialty

NUCC Taxonomy Code: 101YA0400X

State License OR 23-07-10817

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License OR 22-QMHPC-001136

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

500776784 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Kathy Litvin , CSWA, QMHP-C

Counselor - Mental Health

NPI 1003213737

CSWA, QMHPC

Elizabeth Valadez , CRM, PSS

Counselor - Addiction (Substance Use Disorder)

NPI 1013765569

Christina Collier , QMHA-I

Counselor - Mental Health

NPI 1023570397

QMHAI

Jessica Trailer , QMHA-I

Counselor - Mental Health

NPI 1033758479

QMHAI

Danielle Curtis , CRM-II CADC-I QMHA-R

Counselor - Addiction (Substance Use Disorder)

NPI 1063209914

CRMIICADCIQMHAR

Albie Lemos , CADC-R, CSWA

Social Worker

NPI 1073060083

CADCR, CSWA

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

18 Historical Events

📍

Updated Practice Location August 05, 2026

Registered at 620 NE 2ND ST, GRESHAM, OR 970307514 (Tel: 9712743757)

📍

Updated Business Mailing Address August 05, 2026

Registered at 211 SE CARUTHERS ST, PORTLAND, OR 972144502 (Tel: 9712179008)

👤

Provider Name / Credentials Updated August 05, 2026

Recorded as SARA KOYANO, QMHP-C, CADC-I

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2026

Counselor (License #23-07-10817 in OR)

📍

Updated Practice Location March 13, 2023

Registered at 3099 NE DIAMOND LAKE BLVD, ROSEBURG, OR 974703655 (Tel: 5416733469)

📍

Updated Business Mailing Address March 13, 2023

Registered at PO BOX 1121, ROSEBURG, OR 974700254 (Tel: 5414924550)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2023

Counselor (License #T-21-1068 in OR)

📍

Updated Practice Location January 21, 2022

Registered at 1 SERENITY LN, COBURG, OR 974089350 (Tel: 5416871110)

📍

Updated Business Mailing Address January 21, 2022

Registered at 1 SERENITY LN, COBURG, OR 974089350 (Tel: 5416871100)

👤

Provider Name / Credentials Updated January 21, 2022

Recorded as SARA KOYANO, QMHP-R, CADC-R

👤

Provider Name / Credentials Updated June 24, 2020

Recorded as SARA KOYANO, QMHP-R

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2020

Counselor (License #20-QMHP-R-0193 in OR)

✅

NPI Profile Active February 18, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location February 18, 2020

Registered at 620 NE 2ND ST, GRESHAM, OR 970307514 (Tel: 9712743757)

📍

Updated Business Mailing Address February 18, 2020

Registered at 1776 SW MADISON ST, PORTLAND, OR 972051715 (Tel: 5032241044)

👤

Provider Name / Credentials Updated February 18, 2020

Recorded as SARA KOYANO, QMHP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2020

Counselor

🟢

Initial NPI Registration & Enumeration February 18, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336772417

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 18, 2020

Last Update: August 05, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

211 Se Caruthers St

Portland, OR 972144502

Phone: 9712179008

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.