| Organization Name: | SAMUEL SABO DO |
| NPI Number: | 1073834164 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SAMUEL SABO (PHYSICIAN) |
| Mailing Address: | 18171 Waldow Rd Oregon City |
| State: | OR US |
| Postal Code: | 970458818 |
| Phone Number: | 5036556044 |
| Fax Number: | 5035759171 |
| NPI Enumeration Date: | 06/12/2010 |
| NPI Last Update Date: | 02/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | DO08518 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |