Individual
DR. SARA TRASK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1050 W ELM AVE STE 110, HERMISTON, OR 97838-2713
(541) 567-2995
(541) 567-7720
Mailing address
620 NW11TH ST, SUITE M201, HERMISTON, OR 97838-9531
(541) 289-4118
(541) 667-3484
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD19116
OR
207Q00000X
Family Medicine Physician
Primary
MD19116
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015388000
BCBS
—
01
—
061528
MARION POLK CHP
—
05
—
061528
—
OR
01
—
111646
WORKERS COMPENSATION
—
05
—
8175150
—
WA
01
—
A040
CHAMPUS
—
01
—
F76311
PROVIDENCE
—
01
—
M400719
PACIFIC SOURCE
—
05
—
XPY188979
—
CA
Enumeration date
08/11/2006
Last updated
04/14/2021
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