Individual
ELLEN CARLA BARKER-ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
833 SW 11TH AVE STE 245, PORTLAND, OR 97205-2132
(503) 442-6105
(503) 234-7166
Mailing address
833 SW 11TH AVE STE 245, PORTLAND, OR 97205-2132
(503) 442-6105
(503) 234-7166
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201601411
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201601411
STATE LICENSE - NURSE PRACTITIONER
OR
05
—
500713858
—
OR
Enumeration date
09/21/2011
Last updated
06/17/2021
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