Individual
SARA THATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2009 NE 117TH ST, VANCOUVER, WA 98686-4022
(360) 566-9112
Mailing address
324 NW DAVIS, PORTLAND, OR 97209
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
200930146LPN
OR
164W00000X
Licensed Practical Nurse
Primary
LP60159163
WA
Other
Enumeration date
02/07/2017
Last updated
01/08/2025
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