Provider Demographics
NPI:1407578420
Name:CUTRIGHT, SARA
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:CUTRIGHT
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 1:11880 SW LANGLEY DR
Mailing Address - Street 2:
Mailing Address - City:GASTON
Mailing Address - State:OR
Mailing Address - Zip Code:97119-8565
Mailing Address - Country:US
Mailing Address - Phone:503-715-6803
Mailing Address - Fax:
Practice Address - Street 1:13980 NW MAIN ST
Practice Address - Street 2:
Practice Address - City:BANKS
Practice Address - State:OR
Practice Address - Zip Code:97106-2100
Practice Address - Country:US
Practice Address - Phone:503-715-6803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-15
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR26978225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist