Sarah L. Agsten DO, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SARAH L. AGSTEN DO, LLC

Doing business as

DBA Family Tree Medical Clinic
Family Tree Medical Clinic

Practice address

2508 NW Medical Park Dr
Roseburg, OR 97471-5510

Phone

(541) 673-5225

Fax

(541) 229-4777

NPI assigned

Oct 1, 2007

Last updated

Jul 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Sarah Lynn Agsten, DONPI 1104803691

Title

Owner

Phone

(541) 673-5225

Specialties & licenses 1

Addresses

Other names 2

• DBA Family Tree Medical Clinic Doing business as
• Family Tree Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah Lynn Agsten, DO

  • Family Medicine Physician
  • Roseburg, OR
  • NPI 1104803691
  Medicare reassignment Care Compare group NPD Authorized official
• Heidi Margaret Beery, M.D.

  • Family Medicine Physician
  • Roseburg, OR
  • NPI 1164627667
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1528255866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 NW MEDICAL PARK DR",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974716220",
            "telephone_number": "541-673-5225",
            "fax_number": "541-673-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 NW MEDICAL PARK DR",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974715510",
            "telephone_number": "541-673-5225",
            "fax_number": "541-229-4777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2579 NW Edenbower Blvd",
            "address_purpose": "LOCATION",
            "city": "Roseburg",
            "state": "OR",
            "postal_code": "974716220",
            "country_code": "US",
            "telephone_number": "541-673-5225",
            "fax_number": "541-673-5781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SARAH L. AGSTEN DO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "AGSTEN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-673-5225",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Family Tree Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Tree Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rob Salerno
• Clare Yvonne Salthouse, M.A., LPC, NCC
• Samuel J Russo DO PC
• Eric Sanders
• Vanessa Santillan
• Paisley H Saris
• Jairus Sathianathan, MD
• Tierney Elizabeth Sathianathan, DO
• Preeti Satyanarayana, MD
• Denis W Saunders, MSW

• Family Medicine Physician in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.