Provider Demographics
NPI:1740719608
Name:CHRISTENSEN, SARAH JACQUELIN (MD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JACQUELIN
Last Name:CHRISTENSEN
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 1:2929 NW 138TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-0905
Mailing Address - Country:US
Mailing Address - Phone:572-746-6746
Mailing Address - Fax:405-960-4407
Practice Address - Street 1:13601 W MEMORIAL PARK DR STE 300
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-8355
Practice Address - Country:US
Practice Address - Phone:572-746-6746
Practice Address - Fax:405-960-4407
Is Sole Proprietor?:No
Enumeration Date:2017-06-05
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK33068207RR0500X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine