Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | FE177925 | OR |
NPI | 1750838652 |
---|---|
Provider Name | Sarah Catalin O'reilly-Harbidge |
First Address | Philadelphia, PA 19178-7642 |
Second Address | Portland, OR 97239-3009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2016 |
Last Update Date | 03/11/2016 |