SUSAN ANDERSON
NPI 1356113864
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since October 27, 2023
12121 E BURNSIDE ST, PORTLAND, OR 97216(971) 361-7700 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan Anderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN ANDERSON (NPI 1356113864) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (T-22-2045) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1356113864
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSUSAN ANDERSON
Location Address12121 E BURNSIDE STPortland, OR 97216-3737
Mailing Address232 Nw 6th AvePortland, OR 97209-3609
Sole ProprietorNo
Enumeration DateOctober 27, 2023
NPPES CertifiedOctober 27, 2023
NPI 1356113864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in OR · T-22-2045
12121 E BURNSIDE ST, Portland, OR 97216

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
12121 E BURNSIDE ST
PORTLAND, OR 97216
Registered Nurse
12121 E BURNSIDE ST
PORTLAND, OR 97216
Internal Medicine
12121 E BURNSIDE ST
PORTLAND, OR 97216
Social Worker (Clinical)
12121 E BURNSIDE ST
PORTLAND, OR 97216
Counselor (Addiction (Substance Use Disorder))
12121 E BURNSIDE ST
PORTLAND, OR 97216
Peer Specialist
12121 E BURNSIDE ST
PORTLAND, OR 97216
Nurse Practitioner (Family)
12121 E BURNSIDE ST
PORTLAND, OR 97216
Peer Specialist
12121 E BURNSIDE ST
PORTLAND, OR 97216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Anderson's NPI number?

The NPI number for Susan Anderson is 1356113864. It was assigned to this individual provider in the NPPES registry on October 27, 2023.

Where is Susan Anderson located?

Susan Anderson practices at 12121 E Burnside St, Portland, OR 97216. The listed phone number is (971) 361-7700.

What is Susan Anderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Susan Anderson was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.