Individual provider · Type 1 NPI
Sara Labarge
Pediatric Nurse Practitioner · Portland, OR
NPI number
1871264697
Active
Practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Fax (503) 418-5793
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 10015269 (OR) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 10015269 (OR) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1871264697
Sara Labarge's National Provider Identifier is 1871264697, issued on Sep 22, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Portland, OR. The record was last updated on Jan 11, 2024.