Provider Demographics
NPI:1689974768
Name:SCHWAB, SARAH JANE (RPH)
Entity Type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:JANE
Last Name:SCHWAB
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6901 NE SANDY BLVD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-5255
Mailing Address - Country:US
Mailing Address - Phone:503-280-1212
Mailing Address - Fax:503-280-1213
Practice Address - Street 1:6901 NE SANDY BLVD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-5255
Practice Address - Country:US
Practice Address - Phone:503-280-1212
Practice Address - Fax:503-280-1213
Is Sole Proprietor?:No
Enumeration Date:2010-10-23
Last Update Date:2010-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR8949183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist