Provider Demographics
NPI:1699459438
Name:CAIRNS, SALLY (CERT HEALTH COACH)
Entity type:Individual
Prefix:
First Name:SALLY
Middle Name:
Last Name:CAIRNS
Suffix:
Gender:F
Credentials:CERT HEALTH COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 CLEVELAND ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OR
Mailing Address - Zip Code:97355-4505
Mailing Address - Country:US
Mailing Address - Phone:541-738-2614
Mailing Address - Fax:
Practice Address - Street 1:154 CLEVELAND ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OR
Practice Address - Zip Code:97355-4505
Practice Address - Country:US
Practice Address - Phone:541-738-2614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach