Individual
CARLA RAYNE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
30250 SW PARKWAY AVE, SUITE 7, WILSONVILLE, OR 97070-9757
(503) 570-3366
(503) 570-3367
Mailing address
31130 SW WALLOWA CT, WILSONVILLE, OR 97070-9778
(503) 855-3789
(503) 570-3367
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200250170NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200250170NP
OREGON NP LICENSE
OR
Enumeration date
11/02/2005
Last updated
11/10/2008
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