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NPI Code Detail

MEDICARE: SARAH RIM PA-C

MEDICARE: SARAH RIM PA-C
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
1363A00000XPhysician AssistantPA61165579WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609408012
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH RIM PA-C
Provider Business Mailing Address
First Line : 7427 SW COHO CT STE 200
Second Line :
City : TUALATIN
State : OR
Zip : 97062-8618
Country : US
Telephone Number : 503-692-5737
Fax Number :
Provider Business Practice Location Address
First Line : 19300 SW 65TH AVE
Second Line :
City : TUALATIN
State : OR
Zip : 97062-7706
Country : US
Telephone Number : 503-692-5737
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2020
Last Update Date : 03/09/2026

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Directions to “ SARAH RIM PA-C” Practice Location

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