MR. ANANDA MIKAEL CLOTHIER FNP NPI 1467075846

NPI Information

NPI: 1467075846
Provider Name: MR. ANANDA MIKAEL CLOTHIER, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3455 SW US VETERANS HOSPITAL RD
SCHOOL OF NURSING PORTLAND CAMPUS
PORTLAND, OR
ZIP 97239
Phone: (503) 494-7444
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MR. Ananda Mikael Clothier, FNP is a family nurse practitioner in Portland, OR with 2 years of experience. MR. Ananda Mikael Clothier, FNP NPI is 1467075846. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2022

The provider's business location address is:

3455 SW US VETERANS HOSPITAL RD
SCHOOL OF NURSING PORTLAND CAMPUS
PORTLAND, OR
ZIP 97239-076
Phone: (503) 494-7444

The NPI 1467075846 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/20/2020 and was last updated on 2/15/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	202214935NP-PP	OREGON	Yes

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

NPI Synchronization or Removal

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