Individual provider · Type 1 NPI
Kelly Davis Anderson, FNP
Family Nurse Practitioner · Portland, OR
NPI number
1730195330
Active
Practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 099007722N1 (OR) |
| Family Nurse Practitioner | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1730195330
Kelly Davis Anderson, FNP's National Provider Identifier is 1730195330, issued on Aug 1, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, OR. The record was last updated on Aug 14, 2007.