Provider Demographics
NPI:1376297705
Name:SABREEN, FNU
Entity Type:Individual
Prefix:
First Name:FNU
Middle Name:
Last Name:SABREEN
Suffix:
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 1:968 CALVIN ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-5318
Mailing Address - Country:US
Mailing Address - Phone:541-300-7746
Mailing Address - Fax:
Practice Address - Street 1:3575 DONALD ST STE 125
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-4700
Practice Address - Country:US
Practice Address - Phone:541-600-2028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist