Individual
CONNIE J ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2821 NE 58TH AVE, PORTLAND, OR 97213-3473
(503) 460-0405
(503) 460-0434
Mailing address
2821 NE 58TH AVE, PORTLAND, OR 97213-3473
(503) 460-0405
(503) 460-0434
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200650159NP
OR
Other
Enumeration date
01/04/2007
Last updated
08/27/2008
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