Individual
JACQUELINE SAMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1500 NW BETHANY BLVD, BEAVERTON, OR 97006-5208
(303) 868-3249
Mailing address
14757 SW OREGON TRAIL LN, BEAVERTON, OR 97006-5908
(303) 868-3249
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
201405286NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201405286NP-PP
OR
Other
Enumeration date
08/23/2014
Last updated
06/11/2025
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