Active NPIIndividual provider

Amanda Andersen

Internal Medicine in Beaverton, Oregon

NPI Number1033504410
Practice location
4855 SW Western Ave, Beaverton, OR 97005-3460
Fax
—
Last updated
December 17, 2025

Amanda Andersen is an Internal Medicine based in Beaverton, OR. Amanda Andersen practices in Beaverton, OR. The NPI Number for Amanda Andersen is 1033504410 and holds a License No. MD214325 (OR). The current practice location address for Amanda Andersen is 4855 SW Western Ave, Beaverton, OR 97005-3460 and can be reached out via phone at 503-813-2000.

Provider Profile Details

NPI Number
1033504410
Provider Name
Amanda Andersen
Provider Entity Type
Individual
Gender
Female
Address
4855 SW Western Ave, Beaverton, OR 97005-3460
Phone Number
503-813-2000
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
April 1, 2015
Last Update Date
December 17, 2025
Certification Date
December 17, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
4855 SW Western Ave
Beaverton, OR 97005-3460
State
Oregon
Zip
97005-3460
Phone Number
503-813-2000
Beaverton, OR 97005Get directions →

Provider Business Mailing Address Details

Address
500 NE Multnomah St Ste 100
Portland, OR 97232-2099
City
Portland
State
OR
Zip
97232-2099
Phone Number
503-813-2000

License Information

License Number
MD214325
License State
OR
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amanda Andersen?

The NPI number of Amanda Andersen is 1033504410. It was assigned on April 1, 2015 and is currently active in the NPPES registry.

What is the specialty of Amanda Andersen?

Amanda Andersen is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in OR under license number MD214325.

Where does Amanda Andersen practice?

The practice location is 4855 SW Western Ave, Beaverton, OR 97005-3460. The office can be reached at 503-813-2000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033504410 directly on the NPPES registry website.

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