Provider Demographics
NPI:1346471034
Name:BARRY, SARAH MALINS (CNS-BC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:MALINS
Last Name:BARRY
Suffix:
Gender:F
Credentials:CNS-BC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:MALINS
Other - Last Name:KARASCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, MSN, CNS-BC
Mailing Address - Street 1:PEACEHEALTH HOSPITAL MEDICINE
Mailing Address - Street 2:3377 RIVERBEND DRIVE
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97477-8803
Mailing Address - Country:US
Mailing Address - Phone:541-222-6389
Mailing Address - Fax:541-222-6385
Practice Address - Street 1:PEACEHEALTH HOSPITAL MEDICINE
Practice Address - Street 2:3377 RIVERBEND DRIVE
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-8803
Practice Address - Country:US
Practice Address - Phone:541-222-6389
Practice Address - Fax:541-222-6385
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-29
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201404408CNS-PP364SA2200X, 364S00000X
TX746755364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
No364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR201404408CNS-PPMedicaid
TX204608801Medicaid