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Sandra J Youngworth, ANP
Nurse Practitioner in Portland, Oregon
NPI 1114910122

Sandra J Youngworth is a Nurse Practitioner based in Portland, OR. Sandra J Youngworth practices in Portland, OR and has the professional credentials of ANP. The NPI Number for Sandra J Youngworth is 1114910122 and holds a License No. AP30007006 (Oregon).

The current practice location address for Sandra J Youngworth is 3303 Sw Bond Ave Ste 7, Portland, OR and can be reached out via phone at 503-494-6594 and via fax at 503-494-5385.

Location: 3303 Sw Bond Ave Ste 7, Portland, OR, 97239-4501
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Provider Profile Details
NPI Number
1114910122
Provider Name
Sandra J Youngworth
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
3303 Sw Bond Ave Ste 7, Portland, OR, 97239-4501
Phone Number
503-494-6594
Fax Number
503-494-5385
Provider Enumeration Date
08/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01543023 01 WA RR MEDICARE PTAN
P01628718 01 WA RR PTAN CWH
institution
Provider Business Practice Location Address Details
Address
3303 Sw Bond Ave Ste 7
City
State
Zip
97239-4501
Phone Number
503-494-6594
Fax Number
503-494-5385
person
Provider Business Mailing Address Details
Address
3303 Sw Bond Ave Ste 7
City
State
Zip
97239-4501
Phone Number
503-494-6594
Fax Number
503-494-5385
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
H156296 (Iowa)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
AP30007006 (Washington)
Definition
Definition to come...
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