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General NPI Number Information
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NPI Number | 1407204225
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Entity Type | Individual
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Provider Name | SARAH M WATERMAN MD
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Gender | Female
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Dates
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Enumeration Date | 06/02/2016
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 335 FAIRVIEW ST
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City | SILVERTON
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State | OR
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Zip | 97381-1916
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Country | US
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Telephone | 503-874-5625
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3417
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City | PORTLAND
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State | OR
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Zip | 97208-3417
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Country | US
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Telephone |
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 31592
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MRM-1587
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M-13950
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License Number State | ID
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD225168
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License Number State | OR
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