Individual
VANESSA KATHLEEN SANNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
265 N BROADWAY ST, PORTLAND, OR 97227-1800
(503) 280-1223
(503) 528-5252
Mailing address
1338 SE 61ST PL, HILLSBORO, OR 97123-6789
(503) 356-2385
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201050213NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500638078
—
OR
Enumeration date
03/08/2011
Last updated
04/11/2013
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