Provider Demographics
NPI:1265969596
Name:MATTHEWS, SARAH LORRAINE (CPO,LPO)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:LORRAINE
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:CPO,LPO
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:LORRAINE
Other - Last Name:NEWKIRK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPO
Mailing Address - Street 1:2116 E 15TH ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-4614
Mailing Address - Country:US
Mailing Address - Phone:918-742-6464
Mailing Address - Fax:918-742-9933
Practice Address - Street 1:2116 E 15TH ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-4614
Practice Address - Country:US
Practice Address - Phone:918-742-6464
Practice Address - Fax:918-742-9933
Is Sole Proprietor?:No
Enumeration Date:2017-05-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKLPO101222Z00000X, 224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist