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Individual

CAROLE C ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(503) 643-7567
Mailing address
14169 NW LAKEVIEW DR, PORTLAND, OR 97229-2379

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
000023518N1
OR

Other

Enumeration date
08/29/2006
Last updated
07/08/2007
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