- Practice location
- 12655 SW Center St Ste 150, Beaverton, OR 97005-1864
- Phone
- 503-832-0945
- Fax
- —
- Last updated
- December 16, 2025
Kyle Edward Anderson is a Nurse Practitioner, Psych/Mental Health based in Beaverton, OR. Kyle Edward Anderson practices in Beaverton, OR and has the professional credentials of PMHNP-BC. The NPI Number for Kyle Edward Anderson is 1912540980 and holds a License No. AP143637 (TX). The current practice location address for Kyle Edward Anderson is 12655 SW Center St Ste 150, Beaverton, OR 97005-1864 and can be reached out via phone at 503-832-0945.
Provider Profile Details
- NPI Number
- 1912540980
- Provider Name
- Kyle Edward Anderson
- Credential
- PMHNP-BC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 12655 SW Center St Ste 150, Beaverton, OR 97005-1864
- Phone Number
- 503-832-0945
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 23, 2019
- Last Update Date
- December 16, 2025
- Certification Date
- December 16, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12655 SW Center St Ste 150
Beaverton, OR 97005-1864 - City
- Beaverton
- State
- Oregon
- Zip
- 97005-1864
- Phone Number
- 503-832-0945
Provider Business Mailing Address Details
- Address
- 1410 NE 106TH Ave
Portland, OR 97220-3934 - City
- Portland
- State
- OR
- Zip
- 97220-3934
- Phone Number
- 210-289-5953
License Information
- License Number (1)
- AP143637
- License State (1)
- TX
- Taxonomy (1)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- License Number (2)
- 202007455NP-PP
- License State (2)
- OR
- Taxonomy (2)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Mr. Kyle E Anderson, PMHNP-BC?
The NPI number of Mr. Kyle E Anderson, PMHNP-BC is 1912540980. It was assigned on October 23, 2019 and is currently active in the NPPES registry.
What is the specialty of Mr. Kyle E Anderson, PMHNP-BC?
Mr. Kyle E Anderson, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in TX under license number AP143637.
Where does Mr. Kyle E Anderson, PMHNP-BC practice?
The practice location is 12655 SW Center St Ste 150, Beaverton, OR 97005-1864. The office can be reached at 503-832-0945 (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 1912540980 directly on the NPPES registry website.