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

Individual provider Clinical Nurse Specialist · NPI 1508212283

Sodasavanh Joy Khamsoukthavong is a Certified Clinical Nurse Specialist (Cns) in Portland, Oregon. Qualified in 2004, 22 years ago. Practices with Legacy Salmon Creek Hospital, a 313-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
22
Licensed in
OR
In the registry since
2016
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Practice location Address checks out

501 N Graham St Ste 220
Portland, OR 97227-2014
Phone: (503) 413-4710
Fax: (503) 413-7148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Nurse Specialist (primary) Taxonomy 364S00000X · Licence 200570006CNS (OR)

Record details

NPI number1508212283
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 11, 2016
Last updated in NPPESDecember 21, 2018

Medicare enrollment

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

Medicare specialtyCERTIFIED CLINICAL NURSE SPECIALIST (CNS)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Legacy Salmon Creek Hospital — 313 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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