Individual
MRS. SARA MARIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7477 SE 52ND AVE, PORTLAND, OR 97206-8206
(765) 212-7365
Mailing address
116 SE 72ND AVE, PORTLAND, OR 97215-1414
(765) 212-7365
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10028641
OR
Other
Enumeration date
07/02/2024
Last updated
12/30/2024
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