Individual
SARAH MACOMBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
29100 SW TOWN CENTER LOOP W, SUITE 190, WILSONVILLE, OR 97070-9315
(503) 570-7600
(503) 570-7602
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60176
OR
225100000X
Physical Therapist
PT60171317
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619283900
—
WA
05
—
500661045
—
OR
01
—
P01322200
RR
OR
Enumeration date
08/24/2010
Last updated
01/18/2021
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