Individual provider · Type 1 NPI
Sonan Daba Itcha, FNP
Family Nurse Practitioner · Milwaukie, OR
NPI number
1689462780
Active
Practice location
6551 SE Pine Creek Way
Milwaukie, OR 97267-1928
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 10043886 (OR) |
Family Nurse Practitioner: Definition to come...
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About NPI 1689462780
Sonan Daba Itcha, FNP's National Provider Identifier is 1689462780, issued on Apr 28, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Milwaukie, OR. The record was last updated on Apr 28, 2025.