Fahey, Sara

Fahey, Sara is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239-3098. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Fahey, Sara can be contacted via phone (503) 418-4500.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Portland OR 97239-3098
Phone: (503) 418-4500
Fax: (503) 494-1678
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X AP30006157 Washington
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 200250014NP-PP Oregon

Profile Details

NPI number 1659423309
LBN Legal business name Fahey, Sara
Credentials C.N.M., ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Nov 4th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659423309 NPPES
Washington MEDICAID 1659423309

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