Anderson, Carol Ann
Anderson, Carol Ann is an individual health care provider with primary practice located at 2800 N Vancouver Ave Suite 165, Portland OR 97227-1630. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Anderson, Carol Ann can be contacted via phone (503) 413-2902.Contact Information
Primary practice address
2800 N Vancouver Ave Suite 165
Portland OR 97227-1630
Phone: (503) 413-2902
Fax: (503) 413-5220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 000028415N2PNP-PP | Oregon |
Profile Details
| NPI number | 1922069640 |
|---|---|
| LBN Legal business name | Anderson, Carol Ann |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922069640 | NPPES |
| Oregon | MEDICAID | 070131 |
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