Individual
KYLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
4540 NE GLISAN ST, PORTLAND, OR 97213-2333
(503) 215-3738
Mailing address
4531 SE BELMONT ST STE 100, PORTLAND, OR 97215-1675
(503) 215-6556
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
201141582RN
OR
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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