Individual
SARAH CAVANAGH WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1800 COBURG RD, EUGENE, OR 97401-4995
(541) 640-7625
Mailing address
1292 HIGH ST STE 224, EUGENE, OR 97401-3238
(541) 500-2500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
101247
NC
363A00000X
Physician Assistant
160
MT
363A00000X
Physician Assistant
Primary
PA193225
OR
363AM0700X
Medical Physician Assistant
101247
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000431477
—
MT
01
—
NCM603A
MEDICARE PTAN
NC
01
—
NCM603B
MEDICARE PTAN
NC
01
—
NCM603C
MEDICARE PTAN
NC
01
—
NCM603D
MEDICARE PTAN
NC
Enumeration date
06/26/2006
Last updated
01/23/2020
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