Individual
SANDRA SUE KARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NMNP
Contact information
Practice address
9555 SW BARNES RD, SUITE 100, PORTLAND, OR 97225-6663
(503) 292-3577
(503) 292-3947
Mailing address
7650 SW BEVELAND RD, SUITE200, PORTLAND, OR 97223-8692
(503) 855-1620
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
201250135NP
OR
367A00000X
Advanced Practice Midwife
Primary
201250135NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500648404
—
OR
01
—
R166267
MEDICARE PTAN
OR
Enumeration date
08/22/2012
Last updated
06/18/2016
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