Individual
SARAH ROSE VONGDEUANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25050 SE STARK ST STE 300, GRESHAM, OR 97030-3388
(503) 667-8878
Mailing address
200 SW MARKET ST STE 1650, PORTLAND, OR 97201-5739
(503) 667-8878
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
115079
OR
Other
Enumeration date
03/06/2019
Last updated
03/20/2026
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