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NPI Code Detail

MEDICARE: SARA TAUB MD, MBE

MEDICARE: SARA TAUB MD, MBE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianMD456152PA
22080H0002XPediatric Hospice and Palliative Medicine PhysicianMD456152PA
3208000000XPediatrics PhysicianMD177014OR
42080H0002XPediatric Hospice and Palliative Medicine PhysicianMD177014OR

General Provider Information

NPI Number : 1497011076
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA TAUB MD, MBE
Provider Business Mailing Address
First Line : 3181 SW SAM JACKSON PARK RD
Second Line : OHSU
City : PORTLAND
State : OR
Zip : 97239-3011
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3181 SW SAM JACKSON PARK RD
Second Line : OHSU
City : PORTLAND
State : OR
Zip : 97239-3011
Country : US
Telephone Number : 503-494-8211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2012
Last Update Date : 08/02/2016

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