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Individual

SARAH JANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
2073 OLYMPIC ST, SPRINGFIELD, OR 97477-3413
(541) 682-3550
Mailing address
704 NE 61ST AVE, PORTLAND, OR 97213-4310
(503) 481-6807

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201142636RN
OR

Other

Enumeration date
08/06/2012
Last updated
08/06/2012
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