Megan Ann Andersen
Individual provider Active NPI Counselor · Portland, OR
NPI 1366735326 · NPPES record last updated May 24, 2011
Key facts
- NPI
- 1366735326
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 3550 SE Woodward St
Portland, OR 97202-1552 - Phone
- (503) 680-3130
- NPI assigned
- May 24, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
3550 SE Woodward St
Portland, OR 97202-1552
Mailing address
3550 SE Woodward St
Portland, OR 97202-1552
Phone (503) 680-3130
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2011. 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.