Individual
DR. NICOLE K ANDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8276
(503) 494-2025
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8276
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
60291237
WA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD181358
OR
Other
Enumeration date
04/10/2012
Last updated
07/21/2022
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