person
Stacy M Anderson, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Woodburn, Oregon
NPI 1518139617

Stacy M Anderson is a Psychiatric/Mental Health Nurse Practitioner based in Woodburn, OR and is specialized in Psychiatric/Mental Health. Stacy M Anderson practices in Woodburn, OR and has the professional credentials of PMHNP. The NPI Number for Stacy M Anderson is 1518139617 and holds a License No. 200850153NPPMHNP-PP (Oregon).

The current practice location address for Stacy M Anderson is 1475 Mt. Hood Ave, Woodburn, OR and can be reached out via phone at 971-983-5214 and via fax at 971-983-5219.

Location: 1475 Mt. Hood Ave, Woodburn, OR, 97071
person
Provider Profile Details
NPI Number
1518139617
Provider Name
Stacy M Anderson
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
1475 Mt. Hood Ave, Woodburn, OR, 97071
Phone Number
971-983-5214
Fax Number
971-983-5219
Provider Enumeration Date
03/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500673539 05 OR
500601826 05 OR
institution
Provider Business Practice Location Address Details
Address
1475 Mt. Hood Ave
City
State
Zip
97071
Phone Number
971-983-5214
Fax Number
971-983-5219
person
Provider Business Mailing Address Details
Address
1475 Mt. Hood Ave
City
State
Zip
97071
Phone Number
971-983-5214
Fax Number
971-983-5219
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
200850153NP (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
200850153NPPMHNP-PP (Oregon)
Definition
Definition to come...
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