Provider Demographics
NPI:1124320767
Name:NORRIS, SARA M (ND)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:M
Last Name:NORRIS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:SARA
Other - Middle Name:M
Other - Last Name:KNOTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:401 29TH ST. SO
Mailing Address - Street 2:SUITE 101
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609
Mailing Address - Country:US
Mailing Address - Phone:510-836-0200
Mailing Address - Fax:510-836-0400
Practice Address - Street 1:401 29TH STREET
Practice Address - Street 2:SUITE 101
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609
Practice Address - Country:US
Practice Address - Phone:510-836-0200
Practice Address - Fax:510-836-0400
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-02
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND-435175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath