Individual
SARA E BLACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2610 UHRMANN RD, KLAMATH FALLS, OR 97601-1123
(541) 274-4171
(541) 274-4174
Mailing address
PO BOX 2120, PORTLAND, OR 97208-2120
(541) 274-4171
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
1501413
KS
363AM0700X
Medical Physician Assistant
Primary
PA215327
OR
Other
Enumeration date
12/07/2010
Last updated
04/12/2024
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