GWEN SAMPSON
Nurse Practitioner - Gerontology
Active
Individual
NPI: 1558812867
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Adult Health | 363LA2200X | No | 26NJ00678600 (NJ) |
| Nurse Practitioner - Gerontology | 363LG0600X | Yes | 201703018NP-PP (OR) |
Frequently Asked Questions
NPI 1558812867 is the National Provider Identifier for GWEN SAMPSON, a Nurse Practitioner - Gerontology provider located in Beaverton, OR. This NPI was enumerated on October 21, 2016.
GWEN SAMPSON practices at 6800 SW 105TH AVE STE 206, Beaverton, OR 97008.
Quick Facts
- NPI
- 1558812867
- Type
- Individual
- Enumerated
- Oct 21, 2016
- Last Updated
- Apr 6, 2023
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