Healthcare Provider Details
I. General information
NPI: 1346471034
Provider Name (Legal Business Name): SARAH MALINS BARRY CNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/29/2009
Last Update Date: 07/14/2023
Certification Date: 07/14/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
PEACEHEALTH HOSPITAL MEDICINE 3377 RIVERBEND DRIVE
SPRINGFIELD OR
97477-8803
US
IV. Provider business mailing address
PEACEHEALTH HOSPITAL MEDICINE 3377 RIVERBEND DRIVE
SPRINGFIELD OR
97477-8803
US
V. Phone/Fax
- Phone: 541-222-6389
- Fax: 541-222-6385
- Phone: 541-222-6389
- Fax: 541-222-6385
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 364SA2200X |
| Taxonomy | Adult Health Clinical Nurse Specialist |
| License Number | 201404408CNS-PP |
| License Number State | OR |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 364SA2200X |
| Taxonomy | Adult Health Clinical Nurse Specialist |
| License Number | 746755 |
| License Number State | TX |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 364S00000X |
| Taxonomy | Clinical Nurse Specialist |
| License Number | 201404408CNS-PP |
| License Number State | OR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: