Individual provider · NPI-1
Sarah Lynn Agsten, DO
Family Medicine · Roseburg, OR
NPI number1104803691
StatusActive
Last updated in NPPESJul 8, 2020
Details
- NPI
- 1104803691
- Entity type
- Individual (NPI-1)
- Name
- Sarah Lynn Agsten
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 27, 2005
- Certification date
- Jul 8, 2020
- Last updated
- Jul 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | DO19873 | OR | Yes |
| 208M00000X | Hospitalist | DO19873 | OR |
Practice location
2508 Nw Medical Park DrRoseburg, OR 97471-5510
Phone 541-673-5225 · Fax 541-673-5781
Mailing address
2508 Nw Medical Park DrRoseburg, OR 97471-5510
Phone 541-673-5225 · Fax 541-673-5781
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