Healthcare Provider Details

I. General information

NPI: 1508711136
Provider Name (Legal Business Name): NURSE WITH SARAH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61805 HOSMER LAKE DR
BEND OR
97702-3771
US

IV. Provider business mailing address

61805 HOSMER LAKE DR
BEND OR
97702-3771
US

V. Phone/Fax

Practice location:
  • Phone: 541-480-2744
  • Fax:
Mailing address:
  • Phone: 541-480-2744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number State

VIII. Authorized Official

Name: SARAH ELIZABETH RAFAIL
Title or Position: LACTATION CONSULTANT- RN
Credential: RN, IBCLC
Phone: 541-480-2744