Healthcare Provider Details

I. General information

NPI: 1033421920
Provider Name (Legal Business Name): SARAH RENEE CLAUSSEN D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH RENEE VOLZ DO

II. Dates (important events)

Enumeration Date: 07/08/2010
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2003 KOOTENAI HEALTH WAY
COEUR D ALENE ID
83814-6051
US

IV. Provider business mailing address

23845 MCBEAN PKWY
VALENCIA CA
91355-2001
US

V. Phone/Fax

Practice location:
  • Phone: 208-625-5187
  • Fax: 208-625-6892
Mailing address:
  • Phone: 661-200-1370
  • Fax: 661-200-1379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number20A16303
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number108577
License Number StateAK
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number1371746
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: