Provider Demographics
NPI:1588804579
Name:GERHARDS, SARA POYNTER (MD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:POYNTER
Last Name:GERHARDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:KATHERINE
Other - Last Name:POYNTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10 COBURG ROAD
Mailing Address - Street 2:STE 100
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-7479
Mailing Address - Country:US
Mailing Address - Phone:541-342-8616
Mailing Address - Fax:541-686-4814
Practice Address - Street 1:10 COBURG ROAD
Practice Address - Street 2:STE 100
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-7479
Practice Address - Country:US
Practice Address - Phone:541-342-8616
Practice Address - Fax:541-686-4814
Is Sole Proprietor?:No
Enumeration Date:2009-03-03
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD152697207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORR160180Medicare PIN