Individual
SARA MEERDTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19250 SW 90TH AVE, TUALATIN, OR 97062-7585
(503) 692-3750
(503) 691-2324
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA169462
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500689564
—
OR
Enumeration date
11/19/2009
Last updated
12/05/2023
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