Tera McKenzie Anderson, B.A.

Individual provider Active NPI Case Manager/Care Coordinator · Bend, OR

NPI 1740486901 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1740486901
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
63360 NW Britta St Ste 1
Bend, OR 97701-9475
Phone
(541) 598-5607
NPI assigned
Jun 25, 2007
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
Credentials
Bachelor of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

63360 NW Britta St Ste 1
Bend, OR 97701-9475

Mailing address

1539 NW Davenport Ave
Bend, OR 97701-3082
Phone (541) 598-5607

Other providers in Bend, OR

All providers in Bend, OR · Case Manager/Care Coordinator in Oregon

Sources for this page

Verify at the official NPI Registry.