NPI 1104803691 · live from the CMS NPI Registry
Sarah Lynn Agsten, DO
Family Medicine in Roseburg, OR. National Provider Identifier 1104803691, active.
NPI record
| NPI | 1104803691 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 2508 Nw Medical Park Dr, Roseburg, OR 97471 |
| Practice phone | 541-673-5225 |
| Enumerated | December 27, 2005 |
| Last updated | July 8, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospitalist | 208M00000X | DO19873 (OR) |
| Family Medicine primary | 207Q00000X | DO19873 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.