Individual
KATIE SACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, MSN
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201507361NP-PP
OR
Other
Enumeration date
10/06/2015
Last updated
03/02/2021
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