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1780363242
DEZIRAE MICHELLE SANDERSON
PORTLAND, OR
NPI
1780363242
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: OR 10011219)
Enumeration Date
2023-07-12
Last Update Date
2023-07-12
Business Address
DEZIRAE MICHELLE SANDERSON RN
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-721-1028
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Mailing Address
DEZIRAE MICHELLE SANDERSON RN
4025 N MONTANA AVE
PORTLAND, OR 97227-1123
Phone number: 503-961-0851
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