Individual
DAVID SANDERBRINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
998 A ST, CRESWELL, OR 97426-9633
(541) 895-6197
Mailing address
33277 NIEBLOCK LN, CRESWELL, OR 97426-9748
(541) 912-1363
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
201501527
OR
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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