Individual
STACY M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1475 MT. HOOD AVE, WOODBURN, OR 97071
(971) 983-5214
(971) 983-5219
Mailing address
PO BOX 278, WOODBURN, OR 97071
(971) 983-5260
(971) 983-5326
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200850153NP
OR
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
200850153NPPMHNP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500601826
—
OR
05
—
500673539
—
OR
Enumeration date
03/28/2008
Last updated
07/21/2022
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