Individual
MARY C SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 652-2880
Mailing address
10131 SE SUNNYSIDE RD, CLAKAMAS, OR 97015
(503) 652-2880
(503) 571-2666
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
OR 000031569N3
OR
363LA2200X
Adult Health Nurse Practitioner
WA AP30004463
WA
Other
Enumeration date
08/14/2006
Last updated
07/16/2007
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