Individual provider · Type 1 NPI
Suzannah Anderson, FNP
Psychiatric/Mental Health Nurse Practitioner · Portland, OR
NPI number
1477816353
Active
Practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Fax (503) 418-5505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | NPF21814 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 201902721NP-PP (OR) |
| Family Nurse Practitioner | 363LF0000X | 21814 (CA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NPF21814 (CA) |
| Family Nurse Practitioner | 363LF0000X | 201902721NP-PP (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1477816353
Suzannah Anderson, FNP's National Provider Identifier is 1477816353, issued on Jun 16, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on Sep 17, 2026.