Individual
SARAH K HERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6275 SW MAD HATTER LN, BEAVERTON, OR 97008-8509
(808) 599-0941
Mailing address
6275 SW MAD HATTER LN, BEAVERTON, OR 97008-8509
(808) 599-0941
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW2478
OR
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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