Provider Demographics
NPI:1124429360
Name:NORTH, SARAH JEAN (LMT)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:JEAN
Last Name:NORTH
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 NEWTOWN ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97501-3459
Mailing Address - Country:US
Mailing Address - Phone:541-292-4271
Mailing Address - Fax:541-326-4524
Practice Address - Street 1:411 NEWTOWN ST
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97501-3459
Practice Address - Country:US
Practice Address - Phone:541-292-4271
Practice Address - Fax:541-326-4524
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-08
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR17646225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist