Individual
SARAH MICKENNA MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33996 SE DAVONA DR, SCAPPOOSE, OR 97056-4601
(503) 369-8847
Mailing address
33996 SE DAVONA DR, SCAPPOOSE, OR 97056-4601
(503) 369-8847
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10046762
OR
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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