Maddox, Sarah
Maddox, Sarah is an individual health care provider with primary practice located at 19665 S Lyons Rd , Oregon City OR 97045-9623. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Maddox, Sarah can be contacted via phone (503) 758-5749.Contact Information
Primary practice address
19665 S Lyons Rd
Oregon City OR 97045-9623
Phone: (503) 758-5749
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Oregon |
Profile Details
| NPI number | 1679942700 |
|---|---|
| LBN Legal business name | Maddox, Sarah |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 18th, 2015 |
| Last updated | Sep 18th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679942700 | NPPES |
| Oregon | MEDICAID | GO401B1S |
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