Individual
SARAH ELIZABETH QUEWAKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
727 E ASH ST, LEBANON, OR 97355-4416
(541) 905-1595
Mailing address
727 E ASH ST, LEBANON, OR 97355-4416
(541) 905-1595
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
247562
AZ
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
247562
AZ
163WP0808X
Psychiatric/Mental Health Registered Nurse
247562
AZ
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
247562
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10011107
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15932722
CAQH
—
05
—
500820996
—
OR
Enumeration date
08/30/2011
Last updated
04/01/2026
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