Individual
MADELEINE SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3930 SE DIVISION ST, PORTLAND, OR 97202-1643
(503) 418-3900
(503) 418-3939
Mailing address
3930 SE DIVISION ST, PORTLAND, OR 97202-1643
(503) 418-3900
(503) 418-3939
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200650093NP
OR
Other
Enumeration date
07/17/2006
Last updated
09/18/2013
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