Individual
ANDERSON F. STENGRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2801 N GANTENBEIN AVE, PICU, PORTLAND, OR 97227-1623
(218) 205-7019
Mailing address
PO BOX 6302, PORTLAND, OR 97228-6302
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
169034
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2013
Last updated
04/02/2026
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