Individual
MS. SANDRA E DANCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP - C
Contact information
Practice address
4805 NE GLISAN ST, STE 6N50, PORTLAND, OR 97213-2933
(503) 216-1150
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
200250087
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100103
—
OR
Enumeration date
06/10/2006
Last updated
03/09/2021
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