Individual
SARA GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
740 NW COLORADO AVE, BEND, OR 97701-3291
(541) 771-7735
Mailing address
740 NW COLORADO AVE, BEND, OR 97701-3291
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
10479
OR
Other
Enumeration date
11/02/2007
Last updated
11/02/2007
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