Sara Champion LMT

NPI 1417104381 - Specialist - 174400000X

NPI Details
NPI 1417104381
Gender Female
Enumeration Date 08/22/2008
Last Updated 08/22/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
3581 LEAR WAY
MEDFORD OR, 97504-9759, US
Phone (541) 261-7017
Fax
Business Location
885 VALLEY VIEW DR UNIT C
MEDFORD OR, 97504-3310, US
Phone (541) 261-7017
Fax
Toxanomy
Taxonomy Code 174400000X
License State Oregon
License Number 13297
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According to our database, Sara Champion LMT NPI is 1417104381, taxonomy code is 174400000X and license number is 13297, license state is located at Oregon. Sara Champion LMT physically located at 3581 Lear Way, Medford OR, 97504-9759. NPI Number Sara Champion LMT has the Individual type.

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1417104381 NPI number is provided on an as is basis without warranty of any kind. 1417104381 is maintained by the National Plan & Provider Enumeration System. The contents of Sara Champion LMT are for informational purposes only.