Provider Demographics
NPI:1861633620
Name:ARAUJO, SARAH LYNN (CNA)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LYNN
Last Name:ARAUJO
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:464 N KNOTT ST
Mailing Address - Street 2:
Mailing Address - City:CANBY
Mailing Address - State:OR
Mailing Address - Zip Code:97013-3146
Mailing Address - Country:US
Mailing Address - Phone:503-443-0569
Mailing Address - Fax:
Practice Address - Street 1:450 S PINE ST
Practice Address - Street 2:
Practice Address - City:CANBY
Practice Address - State:OR
Practice Address - Zip Code:97013-5527
Practice Address - Country:US
Practice Address - Phone:503-443-0569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-09
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200712146CNA376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide