Aunnah Anderson

Individual provider Active NPI Pediatric Oncology Registered Nurse · Portland, OR

NPI 1134972136 · NPPES record last updated Apr 9, 2024

Key facts

NPI
1134972136
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Oncology Registered Nurse 163WP0218X
License
201804263RN (OR)
Practice address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone
(503) 494-8311
NPI assigned
Apr 9, 2024
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

State licenses

LicenseStateTypeSpecialty
201804263RNORMDPediatric Oncology Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Oncology Registered Nurse 163WP0218X 201804263RN OR Yes

Addresses

Primary practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Mailing address

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Other providers in Portland, OR

All providers in Portland, OR · Pediatric Oncology Registered Nurse in Oregon

Sources for this page

Verify at the official NPI Registry.