NPI 1720433899

Sara Haase

Practitioner Contractor Lake Oswego, OR

Practice location

Address: 333 S State St, Lake Oswego, OR 97034-3932
Phone: (971) 533-2521
Mailing address: 3905 SE 54th Ave #1, Portland, OR 97206-3982

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 21020 (OR)

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Registry record

NPI: 1720433899
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Apr 2016
Record last updated: 26 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.