Individual provider · Type 1 NPI

Maryam Saudagaran, AGPCNP

Gerontology Nurse Practitioner · Portland, OR

NPI number 1083248504 Active

Practice location

6350 NE Halsey St
Portland, OR 97213-4720

Mailing address

PO Box 3158
Portland, OR 97208-3158

Other practice locations

  • 10140 SW Parkway, Portland, OR 97225-5008 · (503) 215-2669

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAP61297081 (WA)
Gerontology Nurse Practitioner 363LG0600XAP61297081 (WA)
Gerontology Nurse Practitioner Primary 363LG0600X10008586 (OR)
Registered Nurse 163W00000XRN60976395 (WA)

Gerontology Nurse Practitioner: Definition to come...

9 other providers at this address

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About NPI 1083248504

Maryam Saudagaran, AGPCNP's National Provider Identifier is 1083248504, issued on Feb 24, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Portland, OR. The record was last updated on Nov 2, 2023.