Provider Demographics
NPI:1992044580
Name:SAITO, MEGHAN HISATOMI (ACNP)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:HISATOMI
Last Name:SAITO
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19910 BLUEGRASS CIR
Mailing Address - Street 2:
Mailing Address - City:WEST LINN
Mailing Address - State:OR
Mailing Address - Zip Code:97068-2338
Mailing Address - Country:US
Mailing Address - Phone:503-708-2363
Mailing Address - Fax:
Practice Address - Street 1:19910 BLUEGRASS CIR
Practice Address - Street 2:
Practice Address - City:WEST LINN
Practice Address - State:OR
Practice Address - Zip Code:97068-2338
Practice Address - Country:US
Practice Address - Phone:503-708-2363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-03
Last Update Date:2013-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201250189NP363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care