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Contact Information

CAROL A ANDERSON, PNP
2800 N VANCOUVER AVE
SUITE 165
PORTLAND, OR97227-1630
 Phone: 503-413-2902
 Fax: 503-413-5220
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CAROL A ANDERSON · (Female)

NPI Number 1922069640
Status Active
Credentials PNP
Entity Individual
Enumeration date 03/31/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR License # 000028415N2PNP-PP
  • OR Medicaid 070131
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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