Provider Demographics
NPI:1932438066
Name:HOHN, SARA BETH (RN, MS, CDE CNS)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:BETH
Last Name:HOHN
Suffix:
Gender:F
Credentials:RN, MS, CDE CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7120 SW 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97219-2006
Mailing Address - Country:US
Mailing Address - Phone:503-494-2653
Mailing Address - Fax:503-494-4781
Practice Address - Street 1:3181 SW SAM JACKSON PARK RD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-3011
Practice Address - Country:US
Practice Address - Phone:503-494-2653
Practice Address - Fax:503-494-4781
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-21
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR089007005RN163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator