Individual
SARA THERESA STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
2200 NE NEFF RD STE 302, BEND, OR 97701-4279
(541) 706-4200
(541) 797-5820
Mailing address
PO BOX 670, BEND, OR 97709-0670
(541) 322-5753
(541) 278-8377
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA152926
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/23/2009
Last updated
02/08/2024
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