ELLEN CARLA BARKER-ANDERSON APNP NPI 1558644955

NPI Information

NPI: 1558644955
Provider Name: ELLEN CARLA BARKER-ANDERSON, APNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
833 SW 11TH AVE STE 245
PORTLAND, OR
ZIP 97205
Phone: (503) 442-6105
Get Directions

Ellen Carla Barker-anderson, APNP is a psychiatric/mental health nurse practitioner in Portland, OR. Ellen Carla Barker-anderson, APNP NPI is 1558644955. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

833 SW 11TH AVE STE 245
PORTLAND, OR
ZIP 97205-132
Phone: (503) 442-6105
Fax: (503) 234-7166

The NPI 1558644955 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 9/21/2011 and was last updated on 6/17/2021.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	201601411	OREGON	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	201601411	OTHER	OREGON	STATE LICENSE - NURSE PRACTITIONER
2	500713858	MEDICAID	OREGON

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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