Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GWEN SAMPSON
ActiveGWEN SAMPSON is a Gerontological Nurse Practitioner healthcare provider located in BEAVERTON, Oregon. NPI 1558812867 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · BEAVERTON, OR
Registration Details
- NPI Number
- 1558812867
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 21, 2016 (9.846496559292 yrs)
- Last Updated
- Apr 6, 2023
- Licenses
-
26NJ00678600 (NJ)26NJ00678600 (NJ)201703018NP-PP (OR)
Practice Information
- Address
-
6800 SW 105TH AVE STE 206BEAVERTON, OR, 970085487Browse OR providers · Browse ZIP 97008
- Phone
- 5034301777
- Fax
- 5033725119
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Gerontological Nurse Practitioner
- Additional Specialty
- Gerontological Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.