Peterson, Sarah Georgine
Peterson, Sarah Georgine is an sole proprietor health care provider with primary practice located at 107 North River Street Suite B, Enterprise OR 97828-1633. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Peterson, Sarah Georgine can be contacted via phone (541) 263-1225.Contact Information
Primary practice address
107 North River Street Suite B
Enterprise OR 97828-1633
Phone: (541) 263-1225
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 202201745NP-PP | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 202201745NP-PP | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 202101745NP-PP | Oregon |
Profile Details
| NPI number | 1689268260 |
|---|---|
| LBN Legal business name | Peterson, Sarah Georgine |
| Credentials | DNP,ARNP,FNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 24th, 2021 |
| Last updated | Mar 25th, 2022 - about 4 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 | 1689268260 | NPPES |
| Oregon | Other | UNKNOWN | WALLOWA MEMORIAL HOSPITAL |
| Oregon | Other | F01211016 | WALLOWA MEMORIAL HOSPITAL |
| Oregon | Other | 202101745NP-PP | WALLOWA MEMORIAL HOSPITAL |
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