Provider Demographics
NPI:1891954111
Name:WINSLOW, SARAH SUE LOUISE (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:SUE LOUISE
Last Name:WINSLOW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 92900
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97292-0900
Mailing Address - Country:US
Mailing Address - Phone:360-896-6944
Mailing Address - Fax:
Practice Address - Street 1:315 NE 192ND AVE
Practice Address - Street 2:SUITE 310
Practice Address - City:CAMAS
Practice Address - State:WA
Practice Address - Zip Code:98607
Practice Address - Country:US
Practice Address - Phone:360-729-8200
Practice Address - Fax:360-729-8201
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD157457207Q00000X
WAMD607228742083P0901X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORR166276Medicare PIN