Healthcare Provider Details

I. General information

NPI: 1215071568
Provider Name (Legal Business Name): SARAH MARIE COLBY D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/19/2007
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9375 SW COMMERCE CIR STE A1
WILSONVILLE OR
97070-9630
US

IV. Provider business mailing address

26050 SW 45TH DR
WILSONVILLE OR
97070-9718
US

V. Phone/Fax

Practice location:
  • Phone: 503-582-9200
  • Fax: 503-582-1487
Mailing address:
  • Phone: 503-680-0965
  • Fax: 503-685-9166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3504
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: