Individual provider · Type 1 NPI
Kyle Edward Anderson, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Beaverton, OR
NPI number
1912540980
Active
Practice location
12655 SW Center St Ste 150
Beaverton, OR 97005-1864
Mailing address
1410 NE 106th Ave
Portland, OR 97220-3934
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP143637 (TX) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 202007455NP-PP (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1912540980
Kyle Edward Anderson, PMHNP-BC's National Provider Identifier is 1912540980, issued on Oct 23, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Beaverton, OR. The record was last updated on Dec 16, 2025.