Individual
SARAH JO PRUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 SE 3RD ST, TOLEDO, OR 97391-1613
(541) 336-2254
Mailing address
530 SW FALL ST APT H, NEWPORT, OR 97365-5055
(541) 880-4638
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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