Individual
SARAH MARTINEZ CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2327 SW 4TH AVE, ONTARIO, OR 97914-1851
(208) 642-7364
Mailing address
1441 NE 10TH AVE, PAYETTE, ID 83661-5420
(208) 642-9376
(208) 642-9598
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA-2105
ID
363AM0700X
Medical Physician Assistant
Primary
PA206788
OR
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500799941
—
OR
Enumeration date
08/30/2021
Last updated
01/13/2026
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