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
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 000028415N2PNP-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.