Individual
STEPHANIE SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
2005 W MAIN ST STE 110, BATTLE GROUND, WA 98604-4311
(360) 882-2778
Mailing address
PO BOX 4825, PORTLAND, OR 97208-4825
(360) 397-4040
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
AP61006352
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61006352
WA
Other
Enumeration date
09/30/2019
Last updated
02/02/2023
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