Healthcare Provider Details

I. General information

NPI: 1932413911
Provider Name (Legal Business Name): SARAH CATHERINE D'AMBROSIO ANP-BC, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2010
Last Update Date: 12/28/2021
Certification Date: 12/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2875 NE STUCKI AVE
HILLSBORO OR
97124-5806
US

IV. Provider business mailing address

2875 NE STUCKI AVE
HILLSBORO OR
97124-5806
US

V. Phone/Fax

Practice location:
  • Phone: 503-813-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2258896
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: