Healthcare Provider Details

I. General information

NPI: 1902721921
Provider Name (Legal Business Name): SARAH ANNE ROBERTSON DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3621 HIGHWAY 101 N
GEARHART OR
97138-4321
US

IV. Provider business mailing address

3621 HIGHWAY 101 N
GEARHART OR
97138-4321
US

V. Phone/Fax

Practice location:
  • Phone: 503-717-7789
  • Fax: 503-717-7777
Mailing address:
  • Phone: 503-717-7789
  • Fax: 503-717-7777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number66202
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: