Individual
MS. SARA LABARGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5750
(503) 418-5793
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5750
(503) 418-5793
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
10015269
OR
363LP0200X
Pediatric Nurse Practitioner
Primary
10015269
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/22/2021
Last updated
01/11/2024
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