Individual
MARA SAGMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1420 JOHN ADAMS ST, OREGON CITY, OR 97045-1609
(503) 656-1484
Mailing address
9618 NE 103RD ST, VANCOUVER, WA 98662-3343
(503) 704-0078
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
201704423NP-PP
OR
Other
Enumeration date
06/19/2017
Last updated
06/19/2017
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