Individual
SARA RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, OCN
Contact information
Practice address
2880 NW STEWART PKWY STE 300, ROSEBURG, OR 97471-1205
(541) 229-4070
Mailing address
4149 MELQUA RD, ROSEBURG, OR 97471-8955
(541) 643-5458
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
201141797RN
OR
363LF0000X
Family Nurse Practitioner
Primary
201900884NP-PP
OR
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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