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Deactivated NPI 1336411651 Deactivated / Inactive NPI Female Practitioner

Sandra Lee Keller , RN

Registered Nurse • Clackamas, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Sandra Keller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 01, 2012
NPI Deactivation Date July 12, 2017
Total Practice Duration ~5 Years of Practice (2012 – 2017)

Professional Overview & Biography Verified Profile Summary

Sandra Keller, RN was a registered Registered Nurse practicing in Clackamas, OR. Throughout an active medical career spanning 5 years, Sandra Keller provided care at the practice location at 9775 SE SUNNYSIDE RD until profile deactivation on 2017-07-12.

Practice Location & Contact Primary Location

Practice Address

9775 Se Sunnyside Rd
Suite 200

Clackamas, OR 970155739

Telephone 5037943838
Fax 5037943850
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Clackamas, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
33 Specialists

Practicing in Clackamas, OR (2515 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License OR 081055129RN

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Wendy Batchelor Smith , RN

Registered Nurse - Community Health

NPI 1003140674

Registered Nurse

Emily Ketola , LCSW

Social Worker - Clinical

NPI 1003141672

Licensed Clinical Social Worker

Trang Tran , RN

Registered Nurse

NPI 1043656333

Registered Nurse

Kathryn Whipple

Social Worker - Clinical

NPI 1093981169
Dr. Janett Phelps , DO

Family Medicine

NPI 1164650255

Doctor of Osteopathic Medicine (D.O.)

James Hart , RN

Registered Nurse

NPI 1235402348

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 12, 2017

Record deactivated on July 12, 2017

NPI Profile Active February 01, 2012

NPI status registered as active in NPPES database

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Updated Practice Location February 01, 2012

Registered at 9775 SE SUNNYSIDE RD, SUITE 200, CLACKAMAS, OR 970155739 (Tel: 5037943838)

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Updated Business Mailing Address February 01, 2012

Registered at 2051 KAEN RD, OREGON CITY, OR 970454035 (Tel: 5037425300)

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Provider Name / Credentials Updated February 01, 2012

Recorded as SANDRA KELLER, RN

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2012

Registered Nurse (License #081055129RN in OR)

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Initial NPI Registration & Enumeration February 01, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336411651
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 01, 2012
Last Update: February 01, 2012
Deactivation Date: July 12, 2017

Mailing Address

2051 Kaen Rd

Oregon City, OR 970454035

Phone: 5037425300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.