Individual
DARLENE J ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4610 SE BELMONT ST, SUITE 60, PORTLAND, OR 97215-1752
(503) 988-5303
(503) 988-5112
Mailing address
30748 SE DIVISION DR, TROUTDALE, OR 97060-9494
(503) 663-7089
(503) 663-7089
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
084063342N4
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291811
—
OR
Enumeration date
08/23/2006
Last updated
07/09/2007
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