Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 1677 | OR |
N | 225700000X | Massage Therapist | 13112 | OR |
NPI | 1104030907 |
---|---|
Provider Name | Dr. Sara K Hart |
First Address | Portland, OR 97215-3611 |
Second Address | Portland, OR 97210-3400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 30/03/2011 |