Sandra Ann Banta Wright, NNP - Nurse Practitioner in Portland, OR

Sandra Ann Banta Wright, NNP is a Nurse Practitioner - Neonatal based in Portland, Oregon. Sandra Ann Banta Wright is licensed to practice in Oregon (license number O84059397RN) and her current practice location is 707 Sw Gaines St, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at (800) 452-3563.

NPI number for Sandra Ann Banta Wright is 1407943459 and her current mailing address is 7316 Se 13th Ave, Portland, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407943459.

Contact Information

Sandra Ann Banta Wright, NNP
707 Sw Gaines St,
Portland, OR 97239-2901
(800) 452-3563
Not Available

Map and Direction




Provider's Profile

Full NameSandra Ann Banta Wright
GenderFemale
SpecialityNurse Practitioner - Neonatal
Location707 Sw Gaines St, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1407943459
  • Provider Enumeration Date: 10/09/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Sandra Ann Banta Wright such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407943459NPI-NPPES
000552MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LN0000XNurse Practitioner - Neonatal O84059397RN (Oregon)Primary
363LN0000XNurse Practitioner - Neonatal (Oregon)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sandra Ann Banta Wright is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sandra Ann Banta Wright, NNP
7316 Se 13th Ave,
Portland, OR 97202-5922

Ph: () -
Sandra Ann Banta Wright, NNP
707 Sw Gaines St,
Portland, OR 97239-2901

Ph: (800) 452-3563

Reviews and Comments


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