Provider Demographics
NPI:1952180523
Name:SANCHEZ, VIVIANNE
Entity Type:Individual
Prefix:
First Name:VIVIANNE
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 W B ST STE O
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97477-4593
Mailing Address - Country:US
Mailing Address - Phone:458-234-6800
Mailing Address - Fax:458-200-4221
Practice Address - Street 1:188 W B ST STE O
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-4593
Practice Address - Country:US
Practice Address - Phone:458-234-6800
Practice Address - Fax:458-200-4221
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR202204272RN163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn