Anderson, Kyle Edward

Anderson, Kyle Edward is an individual health care provider with primary practice located at 1410 Ne 106Th Ave , Portland OR 97220-3934. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Anderson, Kyle Edward can be contacted via phone (210) 289-5953.

Contact Information

Primary practice address
1410 Ne 106Th Ave Portland OR 97220-3934
Phone: (210) 289-5953
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 202007455NP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP143637 Texas

Profile Details

NPI number 1912540980
LBN Legal business name Anderson, Kyle Edward
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2019
Last updated Nov 5th, 2020 - about 5 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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