Individual
SARAH E SCARBOROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10 NE 5TH AVE, MILTON, OR 97862-1799
(541) 938-3314
(541) 938-4449
Mailing address
55 W TIETAN ST, WALLA WALLA, WA 99362-4498
(509) 525-3720
(509) 522-1592
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30006616
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214257
L&I
WA
05
—
232869
—
OR
05
—
9639931
—
WA
01
—
P00392521
RAIL ROAD MEDICARE
WA
Enumeration date
10/11/2006
Last updated
03/12/2008
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