Individual
SARA CHAMPION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3581 LEAR WAY, MEDFORD, OR 97504-9759
(541) 261-7017
Mailing address
885 VALLEY VIEW DR UNIT C, MEDFORD, OR 97504-3310
(541) 261-7017
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13297
OR
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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