NPI 1144211913 CARLA RAYNE ANDERSON FNP WILSONVILLE OR. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Carla Rayne Anderson - NPI: 1144211913

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: CARLA RAYNE ANDERSON
NPI Number: 1144211913
Entity Type Code: Individual (1)
Gender: F
Credentials: FNP
License Number: 200250170NP
Business Practice Address: 30250 Sw Parkway Ave
Suite 7 Wilsonville, OR - 970709757
Business Phone Number: 5035703366
Business Fax Number: 5035703367
Mailing Address: 31130 Sw Wallowa Ct,
WILSONVILLE
State: OR
Postal Code: 970709778
Phone Number: 5038553789
Fax Number: 5035703367
NPI Enumeration Date: 11/02/2005
NPI Last Update Date: 11/10/2008
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363LF0000X
License Number: 200250170NP
Healthcare Provider Taxonomy:
(Secondary)
Y
State: OR
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Nurse Practitioner
Taxonomy Specialization: Family
Taxonomy Definition:


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