person
Mr. Kyle Edward Anderson, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Portland, Oregon
NPI 1912540980

Kyle Edward Anderson is a Psychiatric/Mental Health Nurse Practitioner based in Portland, OR and is specialized in Psychiatric/Mental Health. Kyle Edward Anderson practices in Portland, OR and has the professional credentials of PMHNP-BC. The NPI Number for Kyle Edward Anderson is 1912540980 and holds a License No. 202007455NP-PP (Oregon).

The current practice location address for Kyle Edward Anderson is 1410 Ne 106Th Ave, Portland, OR and can be reached out via phone at 210-289-5953.

Location: 1410 Ne 106Th Ave, Portland, OR, 97220-3934
person
Provider Profile Details
NPI Number
1912540980
Provider Name
Kyle Edward Anderson
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
1410 Ne 106Th Ave, Portland, OR, 97220-3934
Phone Number
210-289-5953
Fax Number
Provider Enumeration Date
10/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1410 Ne 106Th Ave
City
State
Zip
97220-3934
Phone Number
210-289-5953
Fax Number
person
Provider Business Mailing Address Details
Address
1410 Ne 106Th Ave
City
State
Zip
97220-3934
Phone Number
210-289-5953
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
202007455NP-PP (Oregon)
Definition
Definition to come...
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