Active NPI
Amy B Anderson
- Specialist
- Hillsboro, OR
National Provider Identifier
1730165309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1047216
- Practice address
- 403 SW Dennis Ave
Hillsboro, OR 97123-3928 - Phone
- (503) 640-3803
- Fax
- (503) 640-3805
- NPI assigned
- Dec 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1047216 | OR | Primary |
Addresses
Primary practice location
403 SW Dennis Ave
Hillsboro, OR 97123-3928
Mailing address
2415 14TH Ave
Forest Grove, OR 97116-2805
Phone (503) 992-2471
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8383351005 | Other | OR | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1047216 | OR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gentle Steps Children'S Therapy Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Hillsboro, OR
- NPI 1356410054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1730165309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 14TH AVE",
"city": "FOREST GROVE",
"state": "OR",
"postal_code": "971162805",
"telephone_number": "503-992-2471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 SW DENNIS AVE",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971233928",
"telephone_number": "503-640-3803",
"fax_number": "503-640-3805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "AMY",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "1047216",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8383351005",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.