Healthcare Provider Details

I. General information

NPI: 1891655676
Provider Name (Legal Business Name): JOAN SATHER LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 NW DAVIS ST
PORTLAND OR
97209-3925
US

IV. Provider business mailing address

32700 SE LEEWOOD LN UNIT 33 UNIT 33
BORING OR
97009-9542
US

V. Phone/Fax

Practice location:
  • Phone: 503-226-2203
  • Fax: 503-223-4231
Mailing address:
  • Phone: 503-869-7785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number092005261
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: