Healthcare Provider Details

I. General information

NPI: 1881915015
Provider Name (Legal Business Name): SABRINA NOEL DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2010
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

923 NW GRANT AVE
CORVALLIS OR
97330-4503
US

IV. Provider business mailing address

923 NW GRANT AVE
CORVALLIS OR
97330-4503
US

V. Phone/Fax

Practice location:
  • Phone: 541-313-5847
  • Fax:
Mailing address:
  • Phone: 541-313-5847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberDO154846
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: