Healthcare Provider Details

I. General information

NPI: 1982521928
Provider Name (Legal Business Name): SARIANNE HARRIS GAMMIE PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 INTERNATIONAL WAY
SPRINGFIELD OR
97477-1098
US

IV. Provider business mailing address

2694 33RD ST
SPRINGFIELD OR
97477-1887
US

V. Phone/Fax

Practice location:
  • Phone: 458-544-0400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number63864
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: