Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251C2600X | Cardiopulmonary | 61805 | OR |
N | 2251G0304X | Physical Therapist - Geriatrics | 61805 | OR |
N | 2251S0007X | Physical Therapist - Sports | 61805 | OR |
Y | 2251X0800X | Physical Therapist - Orthopedic | 61805 | OR |
NPI | 1982233722 |
---|---|
Provider Name | Sarah Manning |
First Address | Portland, OR 97239-4501 |
Second Address | Portland, OR 97239-4501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2020 |
Last Update Date | 03/04/2020 |