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Kelly Davis Anderson, FNP
Family Nurse Practitioner in Portland, Oregon
NPI 1730195330

Kelly Davis Anderson is a Family Nurse Practitioner based in Portland, OR and is specialized in Family. Kelly Davis Anderson practices in Portland, OR and has the professional credentials of FNP. The NPI Number for Kelly Davis Anderson is 1730195330 and holds a License No. 099007722N1 (Oregon).

The current practice location address for Kelly Davis Anderson is 3181 Sw Sam Jackson Park Rd, Portland, OR and can be reached out via phone at 503-418-5150.

Location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
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Provider Profile Details
NPI Number
1730195330
Provider Name
Kelly Davis Anderson
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
Phone Number
503-418-5150
Fax Number
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
022565 05 OR
institution
Provider Business Practice Location Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-418-5150
Fax Number
person
Provider Business Mailing Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-418-5150
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
099007722N1 (Oregon)
Definition
Definition to come...
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