Individual
MR. ANDREW SARGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Mailing address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
85080883
IL
363A00000X
Physician Assistant
Primary
PA01458
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00887740
MEDICARE RAILROAD
OR
05
—
500607059
—
OR
Enumeration date
07/29/2005
Last updated
03/29/2021
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