Darlene J Anderson, NP
Individual provider Active NPI Nurse Practitioner · Portland, OR
NPI 1285740985 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1285740985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 084063342N4 (OR)
- Practice address
- 4610 SE Belmont St
Suite 60
Portland, OR 97215-1752 - Phone
- (503) 988-5303
- Fax
- (503) 988-5112
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Housecall Providers Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 084063342N4 | OR | Yes |
Addresses
Primary practice location
4610 SE Belmont St
Suite 60
Portland, OR 97215-1752
Mailing address
30748 SE Division Dr
Troutdale, OR 97060-9494
Phone (503) 663-7089
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 291811 | Medicaid | OR |
Other providers in Portland, OR
- Craig Anderson
- Cynthia J Anderson
- D Carol Anderson
- Daniel Stephen Anderson
- Darby Elizabeth Anderson
- Daryl E. Anderson
- David Allen Anderson
- David Harry Anderson
- David J Anderson
- Dean Anderson
All providers in Portland, OR · Nurse Practitioner in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. 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.