Individual
SARAH ATKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
815 SW BOND ST, BEND, OR 97702-3593
(541) 382-4900
Mailing address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-4900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA201743
OR
363AM0700X
Medical Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500789042
—
OR
01
—
R223970
MEDICARE
OR
Enumeration date
06/16/2020
Last updated
12/09/2021
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