Anderson, Anna M

Anderson, Anna M is an individual health care provider with primary practice located at 9701 Sw Barnes Rd Suite 200, Portland OR 97225-6772. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Anderson, Anna M can be contacted via phone (503) 734-3700.

Contact Information

Primary practice address
9701 Sw Barnes Rd Suite 200 Portland OR 97225-6772
Phone: (503) 734-3700
Fax: (503) 473-8462
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 200250151NP Oregon

Profile Details

NPI number 1578601696
LBN Legal business name Anderson, Anna M
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Nov 28th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578601696 NPPES
Oregon MEDICAID 197640

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