Provider Demographics
NPI:1447502513
Name:NAIDOO, SARAH (DVM)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:NAIDOO
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 W 'Q' ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97977-2171
Mailing Address - Country:US
Mailing Address - Phone:541-746-0112
Mailing Address - Fax:541-744-5998
Practice Address - Street 1:103 W 'Q' ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97977-2171
Practice Address - Country:US
Practice Address - Phone:541-746-0112
Practice Address - Fax:541-744-5998
Is Sole Proprietor?:No
Enumeration Date:2012-10-12
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR6080174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian