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KIMBERLEY ANDERSON RN, BSN, QMHP
NPI 1891003679
Counselor - Mental Health in Portland, OR

Active since September 15, 2010
847 NE 19TH AVE, PORTLAND, OR 97232(503) 238-0769(503) 552-6208 Get Directions Write a Review

NPPES record last updated: May 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberley Anderson Rn, Bsn, Qmhp NPPES

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

KIMBERLEY ANDERSON RN, BSN, QMHP (NPI 1891003679) is an individual mental health provider in Portland, Oregon, licensed in Oregon (200841940RN) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1891003679
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLEY ANDERSONCredential: RN, BSN, QMHP
Location Address847 NE 19TH AVEPortland, OR 97232-2684
Mailing AddressPo Box 8459Portland, OR 97207-8459 · (503) 238-0769 · Fax (503) 552-6208
Phone(503) 238-0769
Fax(503) 552-6208
Sole ProprietorYes
Enumeration DateSeptember 15, 2010
Last NPPES UpdateMay 26, 2016
✔ NPI 1891003679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · 200841940RN
847 NE 19TH AVE, Portland, OR 97232
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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.

DEANNA GOLD M.A.
Counselor (Mental Health)
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
Multnomah County (503) 891-9937
VALERIY IGUMNOV RN
Registered Nurse
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
HEAVEN WOODS
Community Health Worker
847 NE 19TH AVE
PORTLAND, OR 97232
Multnomah County (503) 238-0769
MR. DEREK SUN
Adult Companion
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
NATALIE TAYLOR
Adult Companion
847 NE 19TH AVE, STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
ANDREW VOGLER
Counselor (Mental Health)
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
SHANA AXTHELM
Adult Companion
847 NE 19TH AVE
PORTLAND, OR 97232
Multnomah County (503) 760-9606
JOSEPH WARREN LASAC
Case Manager/Care Coordinator
847 NE 19TH AVE
PORTLAND, OR 97232
Multnomah County (503) 238-0769

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 Kimberley Anderson's NPI number?

The NPI number for Kimberley Anderson is 1891003679. It was assigned to this individual provider in the NPPES registry on September 15, 2010.

Where is Kimberley Anderson located?

Kimberley Anderson practices at 847 NE 19th Ave, Portland, OR 97232. The listed phone number is (503) 238-0769.

What is Kimberley Anderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kimberley Anderson was last updated on May 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.