Angela Dawn Anderson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

200943365RN Issued in OR

Practice address

4486 NW Chanticleer Dr
W4
Portland, OR 97229-8799

Phone

(530) 804-6060

NPI assigned

Dec 28, 2010

Last updated

Dec 28, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1053615419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4486 NW CHANTICLEER DR",
            "address_2": "W4",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972298799",
            "telephone_number": "530-804-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4486 NW CHANTICLEER DR",
            "address_2": "W4",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972298799",
            "telephone_number": "530-804-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ANGELA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-28",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "200943365RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerri Elizabeth Anderson-Linde, LPC
• Abby L Anderson
• Alana Anderson
• Alysia M Anderson, L.AC
• Amy Beth Anderson, PSS,CHW, PWS
• Angelina Lucretia Anderson, CPCP
• Anna M Anderson, PMHNP
• Anna R Anderson, O.D.
• April Anderson
• Ariel Anderson, CRNA

• Registered Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.