Banta Wright, Sandra Ann

Banta Wright, Sandra Ann is an individual health care provider with primary practice located at 707 Sw Gaines St , Portland OR 97239-2901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Banta Wright, Sandra Ann can be contacted via phone (800) 452-3563.

Contact Information

Primary practice address
707 Sw Gaines St Portland OR 97239-2901
Phone: (800) 452-3563
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X O84059397RN Oregon
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X Oregon

Profile Details

NPI number 1407943459
LBN Legal business name Banta Wright, Sandra Ann
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407943459 NPPES
Oregon MEDICAID 000552

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