Provider Demographics
NPI:1730263328
Name:CONROY, SARAH ANN (DC)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ANN
Last Name:CONROY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1070 NW MURRAY RD STE A
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97229-5568
Mailing Address - Country:US
Mailing Address - Phone:503-644-5100
Mailing Address - Fax:503-644-5900
Practice Address - Street 1:1070 NW MURRAY RD STE A
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97229-5568
Practice Address - Country:US
Practice Address - Phone:503-644-5100
Practice Address - Fax:503-644-5900
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3377111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR132155Medicare ID - Type UnspecifiedGROUP #
ORV06094Medicare ID - Type UnspecifiedUNKNOWN
ORR132154Medicare ID - Type Unspecified