Individual
VICTORIA SALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
6118 SE BELMONT ST STE 511, PORTLAND, OR 97215-1983
(774) 473-0876
Mailing address
2108 SE 50TH AVE, PORTLAND, OR 97215-3825
(774) 473-0876
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10034671
OR
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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