IndividualActive
Carol Anderson, PNP
NPI 1922069640 · Pediatric Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1922069640
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PNP
- Sex
- Female
- License
- 000028415N2PNP-PP (OR)
Practice location
2800 N Vancouver Ave
Suite 165
Portland, OR 97227-1630
Phone: (503) 413-2902
Fax: (503) 413-5220
Mailing address
2800 N Vancouver Ave
Portland, OR 97227-1630
Registry dates
- Enumerated
- 2006-03-31
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.