Doctor Name: | DR. AUSTIN UNDERWOOD SARGENT |
NPI Number: | 1023090776 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD, PHD. |
License Number: | MD2721072 |
Business Practice Address: | 2850 Se Powell Blvd Gresham, OR - 970801489 |
Business Phone Number: | 5036665025 |
Business Fax Number: | 5036665795 |
Mailing Address: | 1325 9th St, WEST LINN |
State: | OR |
Postal Code: | 970684702 |
Phone Number: | 5036560049 |
Fax Number: | |
NPI Enumeration Date: | 11/17/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD2721072 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |