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Mr. KYLE EDWARD ANDERSON PMHNP-BC

Individual Provider (NPI-1) Active

Nurse Practitioner, Psych/Mental Health

Provider Information

NPI Number
1912540980
Provider Type
Individual Provider (NPI-1)
Credentials
PMHNP-BC
Status
Active

Contact & Location

Address
12655 SW CENTER ST STE 150, BEAVERTON, OR, 970051864
Phone
(503) 832-0945

Specialties & Taxonomies

Nurse Practitioner, Psych/Mental Health License: TX #AP143637
Nurse Practitioner, Psych/Mental Health Primary License: OR #202007455NP-PP

All Addresses

MAILING

1410 NE 106TH AVE

PORTLAND, OR, 972203934

(210) 289-5953

LOCATION

12655 SW CENTER ST STE 150

BEAVERTON, OR, 970051864

(503) 832-0945