Sage Adult and Geriatric Primary Care LLC
NPI #1932642568 in The Dalles, Oregon
Provider Information
- NPI Number
- 1932642568
- Entity Type
- Organization
- Organization Name
- Sage Adult and Geriatric Primary Care LLC
- Primary Specialty
- Nurse Practitioner - Gerontology
- Enumeration Date
- Nov 30, 2016
- Last Updated
- Nov 30, 2016
Practice Location
- Address
- 1015 WEBBER ST STE 100
- City
- The Dalles
- State
- Oregon
- ZIP Code
- 97058-3527
- Phone
- (541) 296-4804
Authorized Official
- Name
- MS. NINA VAN ES, ANP/GNP
- Title
- OWNER
- Phone
- (541) 296-4804
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
| Nurse Practitioner - Gerontology — Gerontology |
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