SANDRA LOUISE FRESH

PORTLAND, OR
NPI1730267907
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  000028596N6)
Enumeration Date2006-11-02
Last Update Date2007-07-08
Business Address
-- SANDRA LOUISE FRESH PMHNP
3710 SW VETERANS HOSP RD
PORTLAND, OR 97204
Phone number: 503-220-8262
Mailing Address
-- SANDRA LOUISE FRESH PMHNP
20855 S WISTERIA BLVD
WEST LINN, OR 97068
Phone number: 503-656-1540