- Practice location
- 4855 SW Western Ave, Beaverton, OR 97005-3499
- Phone
- 503-643-7565
- Fax
- 503-626-4418
- Last updated
- May 4, 2026
Susan Patricia Anduaga Bocanegra is an Internal Medicine based in Beaverton, OR. Susan Patricia Anduaga Bocanegra practices in Beaverton, OR and has the professional credentials of MD. The NPI Number for Susan Patricia Anduaga Bocanegra is 1316331259 and holds a License No. 58314 (AZ). The current practice location address for Susan Patricia Anduaga Bocanegra is 4855 SW Western Ave, Beaverton, OR 97005-3499 and can be reached out via phone at 503-643-7565 and via fax at 503-626-4418.
Provider Profile Details
- NPI Number
- 1316331259
- Provider Name
- Susan Patricia Anduaga Bocanegra
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4855 SW Western Ave, Beaverton, OR 97005-3499
- Phone Number
- 503-643-7565
- Fax Number
- 503-626-4418
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 27, 2015
- Last Update Date
- May 4, 2026
- Certification Date
- May 4, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4855 SW Western Ave
Beaverton, OR 97005-3499 - City
- Beaverton
- State
- Oregon
- Zip
- 97005-3499
- Phone Number
- 503-643-7565
- Fax Number
- 503-626-4418
Provider Business Mailing Address Details
- Address
- 4855 SW Western Ave
Beaverton, OR 97005-3499 - City
- Beaverton
- State
- OR
- Zip
- 97005-3499
- Phone Number
- 503-643-7565
- Fax Number
- 503-626-4418
License Information
- License Number (1)
- 58314
- License State (1)
- AZ
- Taxonomy (1)
- Pediatrics · 208000000X
- License Number (2)
- 58314
- License State (2)
- AZ
- Taxonomy (2)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Susan P Anduaga Bocanegra, MD?
The NPI number of Susan P Anduaga Bocanegra, MD is 1316331259. It was assigned on March 27, 2015 and is currently active in the NPPES registry.
What is the specialty of Susan P Anduaga Bocanegra, MD?
Susan P Anduaga Bocanegra, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in AZ under license number 58314.
Where does Susan P Anduaga Bocanegra, MD practice?
The practice location is 4855 SW Western Ave, Beaverton, OR 97005-3499. The office can be reached at 503-643-7565 (phone) or 503-626-4418 (fax).
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 1316331259 directly on the NPPES registry website.