Individual
SARA CICHOWSKI
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) 418-4500
(503) 494-4473
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-4500
(503) 494-4473
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
57.008910
OH
207V00000X
Obstetrics & Gynecology Physician
MD2011-0047
NM
207V00000X
Obstetrics & Gynecology Physician
MD28406
OR
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
MD28406
OR
Other
Enumeration date
08/11/2007
Last updated
06/05/2020
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