Individual provider · NPI-1
Aunnah Anderson
Registered Nurse, Pediatric Oncology · Portland, OR
NPI number1134972136
StatusActive
Last updated in NPPESApr 9, 2024
Details
- NPI
- 1134972136
- Entity type
- Individual (NPI-1)
- Name
- Aunnah Anderson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2024
- Certification date
- Apr 9, 2024
- Last updated
- Apr 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0218X | Registered Nurse, Pediatric Oncology | 201804263RN | OR | Yes |
Practice location
3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
Phone 503-494-8311
Mailing address
3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
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