Individual
SARAH MARTIN SWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3909 SE 70TH AVE, PORTLAND, OR 97206-2525
(503) 777-2278
(503) 774-3852
Mailing address
PO BOX 8549, PORTLAND, OR 97207-8549
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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