Provider Demographics
NPI:1184039190
Name:GEISLER, SARAH M (RN)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:M
Last Name:GEISLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13448 NE DENBROOK RD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:OR
Mailing Address - Zip Code:97002-8553
Mailing Address - Country:US
Mailing Address - Phone:503-678-2062
Mailing Address - Fax:
Practice Address - Street 1:13448 NE DENBROOK RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:OR
Practice Address - Zip Code:97002-8553
Practice Address - Country:US
Practice Address - Phone:503-678-2062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-27
Last Update Date:2014-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR090000280RN163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health