Provider Demographics
NPI:1851604045
Name:STUHR, SARAH H (PT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:H
Last Name:STUHR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:WHITTTLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:16083 SW UPPER BOONES FERRY RD
Mailing Address - Street 2:7TH FLOORSUITE 300
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97224-7736
Mailing Address - Country:US
Mailing Address - Phone:800-219-8835
Mailing Address - Fax:503-639-9699
Practice Address - Street 1:911 MAIN ST
Practice Address - Street 2:STE. 150
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-1867
Practice Address - Country:US
Practice Address - Phone:503-655-4877
Practice Address - Fax:503-655-4795
Is Sole Proprietor?:No
Enumeration Date:2010-07-16
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR60490225100000X
HIPT-3131225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500668958Medicaid
OR328949OtherWA L&I
HI99-0353213OtherUHA
ORR174470Medicare PIN
HI99-0353213OtherUHA
ORR178284Medicare PIN