Provider Demographics
NPI:1558539403
Name:NILSSON, SAELJ ASTRID (FNP)
Entity Type:Individual
Prefix:MS
First Name:SAELJ
Middle Name:ASTRID
Last Name:NILSSON
Suffix:
Gender:F
Credentials:FNP
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Other - Credentials:
Mailing Address - Street 1:3181 SW SAM JACKSON PARK RD
Mailing Address - Street 2:PREADMISSION TESTING CLINIC MPV OHSU
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-3098
Mailing Address - Country:US
Mailing Address - Phone:503-256-0315
Mailing Address - Fax:503-494-1110
Practice Address - Street 1:3181 SW SAM JACKSON PARK RD
Practice Address - Street 2:OHSU PAT CLINIC MPV
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-3011
Practice Address - Country:US
Practice Address - Phone:503-494-1100
Practice Address - Fax:503-494-1110
Is Sole Proprietor?:No
Enumeration Date:2008-02-13
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OR363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily