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Search › Washington › 363LW0102X

Sara Derenge, ARNP

NPI 1053326934 · on the registry since 2006

Practice

Address
1057 12th Ave
Longview, WA 98632
Phone
(360) 636-3892
Fax
(360) 414-1114
Organisation at this address
Cowlitz Family Health Center
Cowlitz Family Health Center
Cowlitz Family Health Center
Cowlitz Family Health Center
Cowlitz Family Health Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
41

Registry record

Primary taxonomy
363LW0102X
363LW0102X
Also registered as
163WG0000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-11-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington