Individual
SARAH JACKSON LYM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1100 3RD ST, TILLAMOOK, OR 97141-3402
(503) 815-2292
Mailing address
1514 11TH ST APT B, TILLAMOOK, OR 97141-3757
(801) 903-3797
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA185216
OR
363A00000X
Physician Assistant
PA185216
OR
Other
Enumeration date
09/25/2017
Last updated
04/03/2025
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