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Mr. David Anderson, STUDENT
Student in an Organized Health Care Education/Training Program in Forest Grove, Oregon
NPI 1508220955

David Anderson is a Student in an Organized Health Care Education/Training Program based in Forest Grove, OR. David Anderson practices in Forest Grove, OR and has the professional credentials of STUDENT. The NPI Number for David Anderson is 1508220955 and holds a License No. (Oregon).

The current practice location address for David Anderson is 2043 College Way, Forest Grove, OR and can be reached out via phone at 208-360-3968.

Location: 2043 College Way, Forest Grove, OR, 97116-1756
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508220955
Provider Name
David Anderson
Credential
STUDENT
Provider Entity Type
Individual
Gender
Male
Address
2043 College Way, Forest Grove, OR, 97116-1756
Phone Number
208-360-3968
Fax Number
Provider Enumeration Date
04/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2043 College Way
City
Forest Grove
State
Oregon
Zip
97116-1756
Phone Number
208-360-3968
Fax Number
person
Provider Business Mailing Address Details
Address
2043 College Way
City
Forest Grove
State
Oregon
Zip
97116-1756
Phone Number
208-360-3968
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Oregon)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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