Individual
MS. SARA J DAVIS-RISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1321 NE 99TH AVE, STE 100, PORTLAND, OR 97220-9437
(503) 215-9900
(253) 382-2091
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA10005107
WA
363LF0000X
Family Nurse Practitioner
Primary
PA156489
OR
Other
Enumeration date
11/20/2006
Last updated
04/06/2012
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