Provider Demographics
NPI:1457645533
Name:DAWSON, SARAH ELIZABETH (DO)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ELIZABETH
Last Name:DAWSON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 SW BLUFF DR STE 220
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-1697
Mailing Address - Country:US
Mailing Address - Phone:541-362-5919
Mailing Address - Fax:541-275-8054
Practice Address - Street 1:400 SW BLUFF DR STE 220
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-1697
Practice Address - Country:US
Practice Address - Phone:541-362-5919
Practice Address - Fax:541-275-8054
Is Sole Proprietor?:No
Enumeration Date:2011-06-06
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORDO158314207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORPG155707OtherOR MEDICAL LICENSE NUMBER