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

Sandra J Youngworth, ANP

Individual provider Nurse Practitioner · NPI 1114910122

Sandra J Youngworth, ANP is a Nurse Practitioner in Portland, Oregon. Qualified in 2005, 21 years ago. Practices with University Professional Services, a 1,704-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Iowa, Oregon and Washington.

Years since qualifying
21
Licensed in
IA, OR, WA
In the registry since
2005
Specialties on file
3
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Practice location Address checks out

3303 SW Bond Ave Ste 7
Portland, OR 97239-4501
Phone: (503) 494-6594
Fax: (503) 494-5385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 4th St Sw, Mason City, IA 50401-2800 — (641) 428-6300

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 200550058NP (OR)
Nurse Practitioner Taxonomy 363L00000X · Licence AP30007006 (WA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence H156296 (IA)

Record details

NPI number1114910122
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedAugust 24, 2005
Last updated in NPPESJanuary 28, 2020
Certification dateJanuary 28, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Portland