Individual
SARA FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M., ARNP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3098
(503) 418-4500
(503) 494-1678
Mailing address
7650 SW BEVELAND RD, SUITE 200, PORTLAND, OR 97223-8692
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
200250014NP-PP
OR
367A00000X
Advanced Practice Midwife
AP30006157
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659423309
—
WA
Enumeration date
01/16/2007
Last updated
11/04/2020
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