NPI Profile for SARA LABARGE in PORTLAND, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
363LP0200X | 50 | Nurse Practitioner | |
Acute Care |
363LA2100X | 50 | Nurse Practitioner | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI # | 1871264697 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/22/2021 | |
| Last updated | 01/11/2024 - About 2 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SARA LABARGE
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