Individual
SARAH B OLTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2480 LIBERTY ST NE STE 110, SALEM, OR 97301-8381
(971) 300-0654
Mailing address
7126 N KELLOGG ST, PORTLAND, OR 97203-3963
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA206796
OR
363AM0700X
Medical Physician Assistant
PA206796
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2020
Last updated
11/08/2024
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