Individual
SARA PULVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
THW
Contact information
Practice address
906 MAIN AVE, TILLAMOOK, OR 97141-3816
(503) 842-8201
(503) 815-1870
Mailing address
906 MAIN AVE, TILLAMOOK, OR 97141-3816
(503) 815-1870
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW000108041
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
THW000108041
OREGON HEALTH AUTHORITY
OR
Enumeration date
01/10/2023
Last updated
01/10/2023
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