Organization · Type 2 NPI
Sage Adult and Geriatric Primary Care LLC
Gerontology Nurse Practitioner · The Dalles, OR
NPI number
1932642568
Active
Practice location
1015 Webber St Ste 100
The Dalles, OR 97058-3527
Fax (541) 296-3741
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 200150061NP (OR) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 200150060NP (OR) |
Gerontology Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1932642568
Sage Adult and Geriatric Primary Care LLC's National Provider Identifier is 1932642568, issued on Nov 30, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in The Dalles, OR. The record was last updated on Nov 30, 2016.