Individual
SARA JEANNE MARCHESSAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, FNP-C
Contact information
Practice address
501 MAIN ST STE 308, KLAMATH FALLS, OR 97601-6049
(541) 273-2634
(541) 273-1147
Mailing address
PO BOX 333, KLAMATH FALLS, OR 97601-0014
(541) 273-2634
(541) 273-1147
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
53104
CA
363LF0000X
Family Nurse Practitioner
Primary
201702046
OR
363LF0000X
Family Nurse Practitioner
95003479
CA
Other
Enumeration date
01/14/2016
Last updated
02/05/2024
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