Individual
FOLASADE ETHEL OGUNSANYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
5441 S MACADAM AVE, PORTLAND, OR 97239-6106
(832) 704-4536
Mailing address
5441 S MACADAM AVE, PORTLAND, OR 97239-6106
(832) 704-4536
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10039313
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1076143
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
36440
TN
Other
Enumeration date
01/27/2023
Last updated
10/22/2025
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