David Anderson, STUDENT
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Forest Grove, OR
NPI 1508220955 · NPPES record last updated Apr 12, 2016
Key facts
- NPI
- 1508220955
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 2043 College Way
Forest Grove, OR 97116-1756 - Phone
- (208) 360-3968
- NPI assigned
- Apr 12, 2016
- Sex
- Male
- 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 | OR | Yes |
Addresses
Primary practice location
2043 College Way
Forest Grove, OR 97116-1756
Mailing address
2043 College Way
Forest Grove, OR 97116-1756
Other providers in Forest Grove, OR
- Heidi Clara Acosta
- Adelante Mujeres
- Jhun Daniele Grueso Agonoy
- Thomas F. Alexander
- Chloe Aman
- Katie Anderson
- Karen Malapitan Ara
- Miho Arai
- Ryan Douglas Archibald
- Randilyn Armstrong
All providers in Forest Grove, 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 Apr 12, 2016. 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.