KYLE EDWARD ANDERSON

PORTLAND, OR
NPI1912540980
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  202007455NP-PP)
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  AP143637)
Enumeration Date2019-10-23
Last Update Date2020-11-05
Business Address
Mr. KYLE EDWARD ANDERSON PMHNP-BC
1410 NE 106TH AVE
PORTLAND, OR 97220-3934
Phone number: 210-289-5953
Mailing Address
Mr. KYLE EDWARD ANDERSON PMHNP-BC
1410 NE 106TH AVE
PORTLAND, OR 97220-3934
Phone number: 210-289-5953