Individual
SARAH LYNN AGSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2508 NW MEDICAL PARK DR, ROSEBURG, OR 97471-5510
(541) 673-5225
(541) 673-5781
Mailing address
2508 NW MEDICAL PARK DR, ROSEBURG, OR 97471-5510
(541) 673-5225
(541) 673-5781
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO19873
OR
208M00000X
Hospitalist Physician
DO19873
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151210
—
OR
01
—
430503101
BCBS HMO
—
01
—
804731000
BCBS PPO
OR
Enumeration date
12/27/2005
Last updated
07/08/2020
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