Provider Demographics
NPI:1407049026
Name:CIAMPA, SARAH A (OD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:A
Last Name:CIAMPA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:1655 BOSTON RD
Mailing Address - Street 2:UNIT B16
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01129-1148
Mailing Address - Country:US
Mailing Address - Phone:413-543-6878
Mailing Address - Fax:413-543-9299
Practice Address - Street 1:3615 S RIVER PKWY
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-4552
Practice Address - Country:US
Practice Address - Phone:971-229-0820
Practice Address - Fax:971-229-0821
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-27
Last Update Date:2024-03-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OR3536AT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist