Individual
MRS. SARA LYNN IMLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QHMA
Contact information
Practice address
420 NE 5TH ST, MCMINNVILLE, OR 97128-4603
(503) 434-7462
Mailing address
420 NE 5TH ST, MCMINNVILLE, OR 97128-4603
(503) 434-7462
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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