Individual
DR. SARAH THEODOROFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND VAMC, NCRAR, PORTLAND, OR 97239-2964
(503) 220-8262
(503) 721-1402
Mailing address
5918 NE HOYT ST, PORTLAND, OR 97213-3784
(503) 220-8262
(503) 721-1402
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000552
MI
Other
Enumeration date
02/23/2010
Last updated
03/04/2011
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