Individual
SONAM SANTDASANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 SW SAM JACKSON PARK RD # L605, PORTLAND, OR 97239-3011
(503) 494-3901
(503) 346-8051
Mailing address
3181 SW SAM JACKSON PARK RD # L605, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201908764RN
OR
363LF0000X
Family Nurse Practitioner
Primary
201909206NP-PP
OR
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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