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Organization

NORTHWEST NEWBORN SPECIALISTS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NANETTE SANDERS (ASSISTANT SECRETARY)
(800) 243-3839
Entity
Organization

Contact information

Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(800) 243-3839
(855) 851-4402
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3839

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2080P0203X
Pediatric Critical Care Medicine Physician

Other

Enumeration date
10/31/2025
Last updated
10/31/2025
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