Individual provider · Type 1 NPI

Carol Ann Anderson, PNP

Pediatric Nurse Practitioner · Portland, OR

NPI number 1922069640 Active

Practice location

2800 N Vancouver Ave, Suite 165
Portland, OR 97227-1630

Fax (503) 413-5220

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X000028415N2PNP-PP (OR)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1922069640

Carol Ann Anderson, PNP's National Provider Identifier is 1922069640, issued on Mar 31, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Portland, OR. The record was last updated on Jul 13, 2026.