Individual provider · Type 1 NPI
Angelina Lucretia Anderson, CPCP
Other Specialist/Technologist · Portland, OR
NPI number
1487143129
Active
Practice location
191 NE Grand Ave
Portland, OR 97232-2936
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Specialist/Technologist Primary | 246Z00000X | BAP-TA-10190322 (OR) |
Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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About NPI 1487143129
Angelina Lucretia Anderson, CPCP's National Provider Identifier is 1487143129, issued on May 8, 2018. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Portland, OR. The record was last updated on May 8, 2018.