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Individual

MRS. ANGELA DAWN ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4486 NW CHANTICLEER DR, W4, PORTLAND, OR 97229-8799
(530) 804-6060
Mailing address
4486 NW CHANTICLEER DR, W4, PORTLAND, OR 97229-8799
(530) 804-6060

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200943365RN
OR

Other

Enumeration date
12/28/2010
Last updated
12/28/2010
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