Individual
SANDRA LOUISE FRESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3710 SW VETERANS HOSP RD, PORTLAND, OR 97204
(503) 220-8262
Mailing address
20855 S WISTERIA BLVD, WEST LINN, OR 97068
(503) 656-1540
(503) 650-6361
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
000028596N6
OR
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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