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General NPI Number Information
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NPI Number | 1811263080
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Entity Type | Individual
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Provider Name | SARAH WALCOTT SAPP MD
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Gender | Female
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Dates
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Enumeration Date | 03/31/2012
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Last Update Date | 12/21/2021
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Provider Practice Location Address
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Address Line | 9155 SW BARNES RD STE 238
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City | PORTLAND
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State | OR
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Zip | 97225-6629
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Country | US
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Telephone | 503-216-6407
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3158
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City | PORTLAND
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State | OR
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Zip | 97208-3158
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Country | US
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Telephone | 503-215-6494
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD467656
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | A156277
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD172084
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License Number State | OR
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