Audrey R Anderson, PA-C
Physician Assistant in Beaverton, Oregon
1366065427- Practice location
- 12345 SW Horizon Blvd Ste 57, Beaverton, OR 97007-9475
- Phone
- 503-216-8820
- Fax
- —
- Last updated
- February 24, 2025
Audrey R Anderson, PA-C is a Physician Assistant based in Beaverton, OR. Audrey R Anderson, PA-C holds the professional credentials of PA-C. The NPI number for Audrey R Anderson, PA-C is 1366065427 and holds license No. PA213477 (OR). The current practice location address is 12345 SW Horizon Blvd Ste 57, Beaverton, OR 97007-9475 and the office can be reached by phone at 503-216-8820. The NPI was assigned on May 24, 2020 and the record was last updated in NPPES on February 24, 2025.
●Provider Profile Details
- NPI Number
- 1366065427
- Provider Name
- Audrey Rayne Anderson
- Credential
- PA-C
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Enumeration Date
- May 24, 2020
- Last Update Date
- February 24, 2025
- Certification Date
- February 24, 2025
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 12345 SW Horizon Blvd Ste 57
Beaverton, OR 97007-9475 - City
- Beaverton
- State
- Oregon
- ZIP
- 97007-9475
- Country
- US
- Phone Number
- 503-216-8820
✉Business Mailing Address
- Address
- Po Box 3158
Portland, OR 97208-3158 - City
- Portland
- State
- OR
- ZIP
- 97208-3158
- Phone Number
- 503-215-6494
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Physician Assistant, Medical | 363AM0700X | No | PA213477 | OR |
| Physician Assistant | 363A00000X | Yes | PA213477 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
☉Other providers near Beaverton, OR
View all providers in Beaverton →?Frequently Asked Questions
What is the NPI number of Audrey R Anderson, PA-C?
The NPI number of Audrey R Anderson, PA-C is 1366065427. It was assigned on May 24, 2020 and is currently active in the NPPES registry.
What is the specialty of Audrey R Anderson, PA-C?
Audrey R Anderson, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X) and holds license No. PA213477 (OR).
Where does Audrey R Anderson, PA-C practice?
The practice location is 12345 SW Horizon Blvd Ste 57, Beaverton, OR 97007-9475. The office can be reached at 503-216-8820 (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 1366065427 directly on the NPPES registry website at npiregistry.cms.hhs.gov.