Provider Demographics
NPI:1942065610
Name:STEVENSON, SARAH (PHOM)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:STEVENSON
Suffix:
Gender:F
Credentials:PHOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60018 AGATE RD
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-7919
Mailing Address - Country:US
Mailing Address - Phone:541-771-6211
Mailing Address - Fax:
Practice Address - Street 1:60018 AGATE RD
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-7919
Practice Address - Country:US
Practice Address - Phone:541-771-6211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath