Healthcare Provider Details

I. General information

NPI: 1932018686
Provider Name (Legal Business Name): SONJA GROVHOUG RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SONJA CAPEZZA RN

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 E 4TH PLAIN BLVD
VANCOUVER WA
98661-3753
US

IV. Provider business mailing address

3272 SW 153RD DR
BEAVERTON OR
97003-5119
US

V. Phone/Fax

Practice location:
  • Phone: 360-397-8246
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN.RN.70152452
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: