Individual
SARAH SPEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33 NW BROADWAY, PORTLAND, OR 97209-3580
(503) 228-7134
Mailing address
PO BOX 11541, PORTLAND, OR 97211-0541
(503) 228-7134
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
201708299RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201907159NP-PP
OR
Other
Enumeration date
08/10/2019
Last updated
02/17/2020
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