Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | AP6068848 | WA |
N | 363LA2100X | Nurse Practitioner - Acute Care | AP60688448 | WA |
Y | 363LG0600X | Nurse Practitioner - Gerontology | 201909889NP-PP | OR |
NPI | 1073971693 |
---|---|
Provider Name | Ms. Pooja Jasmine Saini |
First Address | Portland, OR 97208-3158 |
Second Address | Portland, OR 97213-2933 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2016 |
Last Update Date | 05/10/2020 |