NPIMap

Christina L.M. Anderson

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI 1104165356 · NPPES record last updated Oct 19, 2015

Key facts

NPI
1104165356
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
10564 SE Washington St
Portland, OR 97216-2809
Phone
(503) 228-9229
Fax
(503) 228-9558
NPI assigned
Feb 7, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteers of America Inc. Past
since Jul 9, 2016		 Accepting new patients
Volunteers of America Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: christina.anderson.p1@direct.voaor.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

10564 SE Washington St
Portland, OR 97216-2809

Mailing address

10564 SE Washington St
Portland, OR 97216-2809
Phone (503) 228-9229

Other providers in Portland, OR

All providers in Portland, OR · Addiction (Substance Use Disorder) Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.