THOMAS SANDERSON, AGACNP
Nurse Practitioner - Gerontology
Active
Individual
NPI: 1275171316
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse - Emergency | 163WE0003X | No | 201904282RN (OR) |
| Nurse Practitioner | 363L00000X | No | 201904283NP-PP (OR) |
| Nurse Practitioner - Gerontology | 363LG0600X | Yes | 201904283NP-PP (OR) |
Frequently Asked Questions
NPI 1275171316 is the National Provider Identifier for THOMAS SANDERSON, AGACNP, a Nurse Practitioner - Gerontology provider located in Portland, OR. This NPI was enumerated on December 19, 2019.
THOMAS SANDERSON, AGACNP practices at 4400 NE HALSEY ST STE 102, Portland, OR 97213.
Quick Facts
- NPI
- 1275171316
- Type
- Individual
- Enumerated
- Dec 19, 2019
- Last Updated
- Apr 25, 2023
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