Cornwall, Sandra Megan

Cornwall, Sandra Megan is an sole proprietor health care provider with primary practice located at 945 Ne 165Th Ave , Portland OR 97230-6148. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Nursing Service Related Providers / Adult Companion. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Cornwall, Sandra Megan can be contacted via phone (971) 409-9113.

Contact Information

Primary practice address
945 Ne 165Th Ave Portland OR 97230-6148
Phone: (971) 409-9113
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Nursing Service Related Providers / Adult Companion 372600000X

Profile Details

NPI number 1962556563
LBN Legal business name Cornwall, Sandra Megan
Credentials QMHA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2007
Last updated Mar 22nd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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