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Individual

SUZANNAH ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3930 SE DIVISION ST, PORTLAND, OR 97202-1643
(503) 418-3900
Mailing address
3930 SE DIVISION ST, PORTLAND, OR 97202-1643

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NPF21814
CA
363LF0000X
Family Nurse Practitioner
201902721NP-PP
OR
363LF0000X
Family Nurse Practitioner
21814
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201902721NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NPF21814
CA

Other

Enumeration date
06/16/2012
Last updated
05/18/2023
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