Individual
DR. SARAH BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
1800 BLANKENSHIP RD STE 448, WEST LINN, OR 97068-4191
(503) 929-7722
Mailing address
1800 BLANKENSHIP RD STE 448, WEST LINN, OR 97068-4191
(503) 929-7722
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
201807125NP-PP
OR
363L00000X
Nurse Practitioner
201807125NP-PP
OR
Other
Enumeration date
04/11/2016
Last updated
12/11/2018
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