| Doctor Name: | SARA JEANNE MARCHESSAULT |
| NPI Number: | 1376909770 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C, FNP-C |
| License Number: | 53104 |
| Business Practice Address: | 670 County Road 83 Canby, CA - 960150125 |
| Business Phone Number: | 5302334641 |
| Business Fax Number: | 5302332830 |
| Mailing Address: | 670 County Road 83, CANBY |
| State: | CA |
| Postal Code: | 960150125 |
| Phone Number: | 5302334641 |
| Fax Number: | 5302332830 |
| NPI Enumeration Date: | 01/14/2016 |
| NPI Last Update Date: | 01/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 53104 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |