Sandra Louise Fresh PMHNP

NPI 1730267907 - Nurse Practitioner - 363LP0808X

NPI Details
NPI 1730267907
Gender Female
Enumeration Date 11/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3710 SW VETERANS HOSP RD
PORTLAND OR, 97204, US
Phone (503) 220-8262
Fax
Business Location
20855 S WISTERIA BLVD
WEST LINN OR, 97068, US
Phone (503) 656-1540
Fax (503) 650-6361
Toxanomy
Taxonomy Code 363LP0808X
License State Oregon
License Number 000028596N6
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According to our database, Sandra Louise Fresh PMHNP NPI is 1730267907, taxonomy code is 363LP0808X and license number is 000028596N6, license state is located at Oregon. Sandra Louise Fresh PMHNP physically located at 3710 Sw Veterans Hosp Rd, Portland OR, 97204. NPI Number Sandra Louise Fresh PMHNP has the Individual type.

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1730267907 NPI number is provided on an as is basis without warranty of any kind. 1730267907 is maintained by the National Plan & Provider Enumeration System. The contents of Sandra Louise Fresh PMHNP are for informational purposes only.