Healthcare Provider Details

I. General information

NPI: 1275992984
Provider Name (Legal Business Name): MRS. SARAH KATHERINE REHNBERG OLOYA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH KATHERINE REHNBERG MSW

II. Dates (important events)

Enumeration Date: 02/23/2016
Last Update Date: 02/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13500 SE 7TH ST
VANCOUVER WA
98683-6909
US

IV. Provider business mailing address

2616 NE 38TH AVE
PORTLAND OR
97212-2921
US

V. Phone/Fax

Practice location:
  • Phone: 360-699-2244
  • Fax:
Mailing address:
  • Phone: 503-348-8475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: