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Thomas David Sanderson, AGACNP
Gerontology Nurse Practitioner in Portland, Oregon
NPI 1275171316

Thomas David Sanderson is a Gerontology Nurse Practitioner based in Portland, OR and is specialized in Gerontology. Thomas David Sanderson practices in Portland, OR and has the professional credentials of AGACNP. The NPI Number for Thomas David Sanderson is 1275171316 and holds a License No. 201904282RN (Oregon).

The current practice location address for Thomas David Sanderson is 4400 Ne Halsey St Ste 102, Portland, OR and can be reached out via phone at 503-962-1000.

Location: 4400 Ne Halsey St Ste 102, Portland, OR, 97208-3158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275171316
Provider Name
Thomas David Sanderson
Credential
AGACNP
Provider Entity Type
Individual
Gender
Male
Address
4400 Ne Halsey St Ste 102, Portland, OR, 97208-3158
Phone Number
503-962-1000
Fax Number
Provider Enumeration Date
12/19/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4400 Ne Halsey St Ste 102
City
Portland
State
Oregon
Zip
97213-1545
Phone Number
503-962-1000
Fax Number
person
Provider Business Mailing Address Details
Address
4400 Ne Halsey St Ste 102
City
Portland
State
Oregon
Zip
97213-1545
Phone Number
503-962-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
163WE0003X
License No.
201904283NP-PP (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
201904283NP-PP (Oregon)
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 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
201904282RN (Oregon)
Definition
Definition to come...
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