Provider Demographics
NPI:1023099918
Name:BEHEL, SARAH HOVER (MD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:HOVER
Last Name:BEHEL
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 1:2311 NW NORTHRUP ST STE 201
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97210-2955
Mailing Address - Country:US
Mailing Address - Phone:503-219-9111
Mailing Address - Fax:503-699-1090
Practice Address - Street 1:2311 NW NORTHRUP ST STE 201
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-2955
Practice Address - Country:US
Practice Address - Phone:503-219-9111
Practice Address - Fax:503-699-1090
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-08
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD189342084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORR0000104337Medicare ID - Type Unspecified
G79141Medicare UPIN