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Contact Information

AUDREY R ANDERSON, PA-C
12345 SW HORIZON BLVD STE 57
BEAVERTON, OR97007-9475
 Phone: 503-216-8820
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for AUDREY R ANDERSON · (Female)

NPI Number 1366065427
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/24/2020
Last updated 02/24/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OR License # PA213477
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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