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1730267907
SANDRA LOUISE FRESH
PORTLAND, OR
NPI
1730267907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR 000028596N6)
Enumeration Date
2006-11-02
Last Update Date
2007-07-08
Business Address
-- SANDRA LOUISE FRESH PMHNP
3710 SW VETERANS HOSP RD
PORTLAND, OR 97204
Phone number: 503-220-8262
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Mailing Address
-- SANDRA LOUISE FRESH PMHNP
20855 S WISTERIA BLVD
WEST LINN, OR 97068
Phone number: 503-656-1540
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