Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maryam Saudagaran, AGPCNP

Individual provider Nurse Practitioner · NPI 1083248504

Maryam Saudagaran, AGPCNP is a Nurse Practitioner in Portland, Oregon. Qualified in 2022, 4 years ago. Practices with Providence Health and Services Oregon, an 18-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
4
Licensed in
OR, WA
In the registry since
2020
Specialties on file
4
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Practice location Address checks out

6350 NE Halsey St
Portland, OR 97213-4720
Phone: (503) 215-2669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10140 Sw Parkway, Portland, OR 97225-5008 — (503) 215-2669

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 10008586 (OR)
Nurse Practitioner Taxonomy 363L00000X · Licence AP61297081 (WA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence AP61297081 (WA)
Registered Nurse Taxonomy 163W00000X · Licence RN60976395 (WA)

Record details

NPI number1083248504
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP
Sole proprietorNo
NPI enumeratedFebruary 24, 2020
Last updated in NPPESNovember 2, 2023
Certification dateNovember 2, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Providence Health And Services Oregon — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Portland