person
Sodasavanh Joy Khamsoukthavong
Clinical Nurse Specialist in Portland, Oregon
NPI 1508212283

Sodasavanh Joy Khamsoukthavong is a Clinical Nurse Specialist based in Portland, OR. Sodasavanh Joy Khamsoukthavong practices in Portland, OR. The NPI Number for Sodasavanh Joy Khamsoukthavong is 1508212283 and holds a License No. 200570006CNS (Oregon).

The current practice location address for Sodasavanh Joy Khamsoukthavong is 501 N Graham St Ste 220, Portland, OR and can be reached out via phone at 503-413-4710 and via fax at 503-413-7148. You can also correspond with Sodasavanh Joy Khamsoukthavong through the mailing address at 501 N GRAHAM ST STE 220, PORTLAND, OR - 97227-2014 (mailing address contact number: 503-413-4710).

Location: 501 N Graham St Ste 220, Portland, OR, 97227-2014
person
Provider Profile Details
NPI Number
1508212283
Provider Name
Sodasavanh Joy Khamsoukthavong
Credential
Provider Entity Type
Individual
Gender
Female
Address
501 N Graham St Ste 220, Portland, OR, 97227-2014
Phone Number
503-413-4710
Fax Number
503-413-7148
Provider Enumeration Date
05/11/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
501 N Graham St Ste 220
City
State
Zip
97227-2014
Phone Number
503-413-4710
Fax Number
503-413-7148
person
Provider Business Mailing Address Details
Address
501 N Graham St Ste 220
City
State
Zip
97227-2014
Phone Number
503-413-4710
Fax Number
503-413-7148
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
-
Taxonomy
License No.
200570006CNS (Oregon)
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
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