Kalie Anderson
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Portland, OR
NPI 1124974183 · NPPES record last updated Mar 10, 2026
Key facts
- NPI
- 1124974183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 3415 SE Powell Blvd
Portland, OR 97202-3371 - Phone
- (503) 234-9591
- NPI assigned
- Mar 10, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
3415 SE Powell Blvd
Portland, OR 97202-3371
Mailing address
3415 SE Powell Blvd
Portland, OR 97202-3371
Phone (503) 234-9591
Other providers in Portland, OR
- Joseph Anderson
- Joseph Edward Anderson
- Julianne Michelle Anderson
- Julie Catherine Anderson
- Justin Elliot Anderson
- Kelly Davis Anderson
- Kimberley Anderson
- Kori Lynn Anderson
- Kristin Brittany Anderson
- Kyle Anderson
All providers in Portland, OR · Student in an Organized Health Care Education/Training Program in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.