Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Samuel Joseph Cross-Sarvis, PMHNP-BC, FNP-C

Individual provider Registered Nurse · NPI 1922305978

Mr. Samuel Joseph Cross-Sarvis, PMHNP-BC, FNP-C is a Registered Nurse in Portland, Oregon. Works from 2 locations. Licensed in California, Oregon and Washington.

Licensed in
CA, OR, WA
In the registry since
2011
Specialties on file
4
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

5263 NE Martin Luther King Jr Blvd
Portland, OR 97211-3235
Phone: (503) 217-4455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 221 Avenue B, Snohomish, WA 98290-2840 — (425) 349-7244

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 201707205NP-PP (OR)
Registered Nurse Taxonomy 163W00000X · Licence RN00176573 (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95003416 (CA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 60621382 (WA)

Record details

NPI number1922305978
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC , FNP-C
Sole proprietorNo
NPI enumeratedFebruary 25, 2011
Last updated in NPPESJuly 19, 2021
Certification dateJuly 19, 2021

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