Provider Demographics
NPI:1033565718
Name:BOTEZ, SABRINA I
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:BOTEZ
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1677 MILL ALY APT 2
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-4155
Mailing Address - Country:US
Mailing Address - Phone:971-678-4217
Mailing Address - Fax:
Practice Address - Street 1:1677 MILL ALY APT 2
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-4155
Practice Address - Country:US
Practice Address - Phone:971-678-4217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-11
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker