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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144211913 NPPES
Oregon Other 200250170NP OREGON NP LICENSE

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