Individual
JOHN SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6835
(541) 766-6186
Mailing address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6835
(541) 766-6186
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201140102RN
OR
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
201140102RN
OR
Other
Enumeration date
07/30/2015
Last updated
01/22/2016
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