Individual
DR. SARAH HERMAN AXTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
1145 NE 60TH AVE, PORTLAND, OR 97213-4209
(513) 582-1476
Mailing address
1145 NE 60TH AVE, PORTLAND, OR 97213-4209
(513) 582-1476
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1874
OR
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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