Individual
SARAH VIALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(503) 494-7859
(503) 494-4447
Mailing address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(503) 494-7859
(503) 494-4447
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
201910632NP-PP
OR
Other
Enumeration date
08/07/2012
Last updated
03/13/2020
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