Individual
SARA KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8385 DIVISION RD, WHITE CITY, OR 97503-1176
(541) 826-5853
(541) 826-5843
Mailing address
8385 DIVISION RD, WHITE CITY, OR 97503-1176
(541) 826-5853
(541) 826-5843
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
673506-1
NY
363LF0000X
Family Nurse Practitioner
Primary
201501105NP-PP
OR
Other
Enumeration date
02/11/2014
Last updated
09/26/2017
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