IndividualActive
Maryam Saudagaran, AGPCNP
NPI 1083248504 · Gerontology Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1083248504
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGPCNP
- Sex
- Female
- Sole proprietor
- No
- License
- AP61297081 (WA)
Mailing address
Po Box 3158
Portland, OR 97208-3158
Registry dates
- Enumerated
- 2020-02-24
- Last updated
- 2023-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.