Individual
MR. ANANDA MIKAEL CLOTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3455 SW US VETERANS HOSPITAL RD, SCHOOL OF NURSING PORTLAND CAMPUS, PORTLAND, OR 97239-3076
(503) 494-7444
Mailing address
3455 SW US VETERANS HOSPITAL RD, SCHOOL OF NURSING PORTLAND CAMPUS, PORTLAND, OR 97239-3076
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202214935NP-PP
OR
Other
Enumeration date
05/20/2020
Last updated
02/15/2023
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