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SALLY JO NIEDERMEYER RN
NPI 1023568649
Registered Nurse - Community Health in Portland, OR

Active since October 06, 2016
5211 NE GLISAN ST BLDG C, PORTLAND, OR 97213(503) 215-3081 Get Directions Write a Review

NPPES record last updated: October 6, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sally Jo Niedermeyer Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SALLY JO NIEDERMEYER RN (NPI 1023568649) is an individual community health provider in Portland, Oregon, licensed in Oregon (080045857RN) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1023568649
Entity TypeIndividualFemale
Primary Taxonomy163WC1500X
Provider Legal NameSALLY JO NIEDERMEYERCredential: RN
Location Address5211 NE GLISAN ST BLDG CPortland, OR 97213-3052
Mailing AddressPo Box 404Government Camp, OR 97028-0404 · (503) 505-4627
Phone(503) 215-3081
Sole ProprietorYes
Enumeration DateOctober 6, 2016
✔ NPI 1023568649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers
Taxonomy Code163WC1500X
License✔ Licensed in OR · 080045857RN
5211 NE GLISAN ST BLDG C, Portland, OR 97213
Open in Google Maps ↗

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROVIDENCE HEALTH & SERVICES OREGON
Clinic/Center
5211 NE GLISAN ST BLDG C
PORTLAND, OR 97213
Multnomah County (503) 215-6628
ELLEN LEA POSTEL
Health Educator
5211 NE GLISAN ST BLDG C
PORTLAND, OR 97213
Multnomah County (434) 390-4676
LEILANI LESTA WILSON
Community Health Worker
5211 NE GLISAN ST BLDG C
PORTLAND, OR 97213
Multnomah County (550) 350-3250
MS. KRYSTA RENEE MERRILL
Community Health Worker
5211 NE GLISAN ST BLDG C
PORTLAND, OR 97213
Multnomah County (541) 450-3575
TRACY L BUSEMAN-CARLSTROM
Community Health Worker
5211 NE GLISAN ST BLDG C
PORTLAND, OR 97213
Multnomah County (503) 869-4228
TINA PATNODE RD, LD
Dietitian, Registered
5211 NE GLISAN ST BLDG C
PORTLAND, OR 97213
Multnomah County (503) 215-7230
MRS. CHRISTIANN MICHELLE COLLINS RD
Dietitian, Registered
5211 NE GLISAN ST BLDG C
PORTLAND, OR 97213
Multnomah County (503) 215-6628
FRED MCLANE BRUDERLIN JR.
Community Health Worker
5211 NE GLISAN ST BLDG C
PORTLAND, OR 97213
Multnomah County (503) 704-6658

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sally Niedermeyer's NPI number?

The NPI number for Sally Niedermeyer is 1023568649. It was assigned to this individual provider in the NPPES registry on October 6, 2016.

Where is Sally Niedermeyer located?

Sally Niedermeyer practices at 5211 NE Glisan St Bldg C, Portland, OR 97213. The listed phone number is (503) 215-3081.

What is Sally Niedermeyer's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Community Health, with taxonomy code 163WC1500X.

When was this NPI record last updated?

The NPPES record for Sally Niedermeyer was last updated on October 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.