Sanderson, Dezirae Michelle

Sanderson, Dezirae Michelle is an individual health care provider with primary practice located at 3710 Sw Us Veterans Hospital Rd , Portland OR 97239-2964. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Sanderson, Dezirae Michelle can be contacted via phone (503) 721-1028.

Contact Information

Primary practice address
3710 Sw Us Veterans Hospital Rd Portland OR 97239-2964
Phone: (503) 721-1028
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 10011219 Oregon

Profile Details

NPI number 1780363242
LBN Legal business name Sanderson, Dezirae Michelle
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2023
Last updated Jul 12th, 2023 - about last year

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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