Anderson, Carla Rayne
Anderson, Carla Rayne is an individual health care provider with primary practice located at 30250 Sw Parkway Ave Suite 7, Wilsonville OR 97070-9757. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Anderson, Carla Rayne can be contacted via phone (503) 570-3366.Contact Information
Primary practice address
30250 Sw Parkway Ave Suite 7
Wilsonville OR 97070-9757
Phone: (503) 570-3366
Fax: (503) 570-3367
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 200250170NP | Oregon |
Profile Details
| NPI number | 1144211913 |
|---|---|
| LBN Legal business name | Anderson, Carla Rayne |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Nov 10th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144211913 | NPPES |
| Oregon | Other | 200250170NP | OREGON NP LICENSE |
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