Individual
MRS. CHARLOTTE ANN SUNDERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P
Contact information
Practice address
VETERANS MEDICAL CENTER, P3 CARD, DIVISION OF CARDIOLOG, US VETERANS HOSPITAL ROAD, PORTLAND, OR 97207
(503) 220-8262
(503) 273-5366
Mailing address
PO BOX 1034, PORTLAND, OR 97207-1034
(503) 220-8262
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
079043243N1 FNP-PP
OR
Other
Enumeration date
09/05/2006
Last updated
07/12/2007
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