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CAROL HOLLY ANDERSON RN, BSN
NPI 1417678137
Registered Nurse - Psychiatric/Mental Health, Child & Adolescent in Portland, OR

Active since September 09, 2022
3415 SE POWELL BLVD, PORTLAND, OR 97202(503) 367-8936 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Carol Holly Anderson Rn, Bsn NPPES

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

CAROL HOLLY ANDERSON RN, BSN (NPI 1417678137) is an individual psychiatric/mental health, child & adolescent provider in Portland, Oregon, licensed in Oregon (200240870RN) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1417678137
Entity TypeIndividualFemale
Primary Taxonomy163WP0807X
Provider Legal NameCAROL HOLLY ANDERSONCredential: RN, BSN
Location Address3415 SE POWELL BLVDPortland, OR 97202-3396
Mailing Address3415 Se Powell BlvdPortland, OR 97202-3396 · (503) 367-8936
Phone(503) 367-8936
Sole ProprietorNo
Enumeration DateSeptember 9, 2022
NPPES CertifiedSeptember 9, 2022
✔ NPI 1417678137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentNursing Service Providers
Taxonomy Code163WP0807X
License✔ Licensed in OR · 200240870RN
3415 SE POWELL BLVD, Portland, OR 97202
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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.

AMY HETLAGE MSW
Social Worker
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
CHELSEA YOUNG
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
HALLIE RISWOLD
Case Manager/Care Coordinator
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (541) 757-1852
MICAELA BUSACK
Case Manager/Care Coordinator
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
DANIEL TRACHUK
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
MATTHEW PAUL SIMONSON
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
ELSA CHRISTINA SPAULDING
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
PETAL GRIFFITH BS
Counselor (School)
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 205-4334

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 Carol Anderson's NPI number?

The NPI number for Carol Anderson is 1417678137. It was assigned to this individual provider in the NPPES registry on September 9, 2022.

Where is Carol Anderson located?

Carol Anderson practices at 3415 SE Powell Blvd, Portland, OR 97202. The listed phone number is (503) 367-8936.

What is Carol Anderson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Child & Adolescent, with taxonomy code 163WP0807X.

When was this NPI record last updated?

The NPPES record for Carol Anderson was last updated on September 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.