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SUSAN M ANDERSON NP NPI 1023290368


NPI Information

NPI: 1023290368
Provider Name: SUSAN M ANDERSON, NP
Classification: Nurse Practitioner - 363L00000X
Entity Type: Individual
Address:
15 N MORRIS ST
PORTLAND, OR
ZIP 97227
Phone: (503) 230-9875
Get Directions

Susan M Anderson, NP is a nurse practitioner in Portland, OR. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Susan M Anderson, NP NPI is 1023290368. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15 N MORRIS ST
PORTLAND, OR
ZIP 97227-541
Phone: (503) 230-9875
Fax: (503) 230-9877

The enumeration date for this NPI number is 11/28/2007 and was last updated on 10/12/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered NurseRN60051570WASHINGTONNo
2163W00000XRegistered Nurse000030393RNOREGONNo
3363L00000XNurse PractitionerAP60051220WASHINGTONNo
4363L00000XNurse Practitioner000030393N1OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100208166MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.