MR. JOHN KENNETH ANDERSON MSW LCSW NPI 1801082185

NPI Information

NPI: 1801082185
Provider Name: MR. JOHN KENNETH ANDERSON, MSW, LCSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
421 SW OAK ST STE 520
PORTLAND, OR
ZIP 97204
Phone: (503) 680-7360
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MR. John Kenneth Anderson, MSW, LCSW is a mental health counselor in Portland, OR. MR. John Kenneth Anderson, MSW, LCSW NPI is 1801082185. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

421 SW OAK ST STE 520
PORTLAND, OR
ZIP 97204-810
Phone: (503) 680-7360

The NPI 1801082185 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.

The enumeration date for this NPI number is 9/19/2007 and was last updated on 2/19/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	1041C0700X	Social Worker	Clinical	No
3	101YM0800X	Counselor	Mental Health	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: 11/14/2023

NPI Synchronization or Removal

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