Provider Demographics
NPI:1861732729
Name:SALDANHA, JODIE (RNFA)
Entity type:Individual
Prefix:
First Name:JODIE
Middle Name:
Last Name:SALDANHA
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8467 SW BLAKE ST
Mailing Address - Street 2:
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062-9011
Mailing Address - Country:US
Mailing Address - Phone:503-680-1258
Mailing Address - Fax:
Practice Address - Street 1:16865 BOONES FERRY RD
Practice Address - Street 2:SUITE 101
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-5280
Practice Address - Country:US
Practice Address - Phone:509-699-6464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200040992RN163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant