Individual
LAURA SAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 SW 13TH AVE, PORTLAND, OR 97205-1902
(503) 221-0161
(503) 274-1697
Mailing address
800 SW 13TH AVE, PORTLAND, OR 97205-1902
(503) 221-0161
(503) 274-1697
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11016667A
IN
207R00000X
Internal Medicine Physician
48571
KY
207R00000X
Internal Medicine Physician
Primary
MD181950
OR
207R00000X
Internal Medicine Physician
MED-PHYS-LIC-103234
MT
Other
Enumeration date
07/12/2012
Last updated
02/19/2024
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