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General NPI Number Information
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NPI Number | 1376959494
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Entity Type | Individual
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Provider Name | SARA MATAR
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Gender | Female
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Dates
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Enumeration Date | 07/09/2014
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Last Update Date | 01/14/2022
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Provider Practice Location Address
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Address Line | 3011 E BARNETT RD
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City | MEDFORD
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State | OR
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Zip | 97504
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Country | US
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Telephone | 541-789-4673
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Fax | 541-789-2121
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Provider Business Mailing Address
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Address Line | PO BOX 4749
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City | MEDFORD
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State | OR
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Zip | 97501-0227
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Country | US
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Telephone | 541-789-4111
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Fax | 541-789-5518
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD196355
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 37269
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License Number State | SC
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