KYLE ANDERSON (NPI# 1306259874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306259874 |
| Entity Type | Individual |
| Full Name | KYLE ANDERSON |
| Credential | RN, BSN |
| Practice Address |
4540 Ne Glisan St Portland OR 97213-2333 |
| Mailing Address |
4531 Se Belmont St Ste 100 Portland OR 97215-1675 |
| Practice Telephone | 5032153738 |
| Mailing Telephone | 5032156556 |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
201141582RN | OR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932523792 | Kyle Charles Anderson | Physical Therapist | 15 S 1000 E Ste 25, Payson, UT 84651-5595 | 2014-02-13 |
| 1326383100 | Kyle C Anderson | Nurse Anesthetist, Certified Registered | 22 Bridge St Ste 9, Concord, NH 03301-4987 | 2012-12-04 |
| 1720221617 | Kyle Anderson | Dermatology | 11301 Nall Ave Fl 2, Bmo Harris Bank Bldg., Leawood, KS 66211-1672 | 2009-04-08 |
| 1952383176 | Kyle Anderson | Orthopaedic Surgery | 32270 Telegraph Rd Ste 220b, Bingham Farms, MI 48025-2456 | 2005-11-15 |
| 1770576332 | Kyle R. Anderson | Internal Medicine | 730 Malabar Rd, Malabar, FL 32950-3140 | 2005-08-29 |
| 1447870571 | Kyle Anderson | Counselor | 3430 Sw 320th St, Federal Way, WA 98023-2292 | 2020-04-18 |
| 1992333215 | Kyle John Anderson | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2020-03-31 |
| 1417580945 | Kyle Anderson | Pharmacist | 812 S 1st Ave, Iowa City, IA 52245-5208 | 2020-02-12 |
| 1912540980 | Kyle Edward Anderson | Nurse Practitioner | 1410 Ne 106th Ave, Portland, OR 97220-3934 | 2019-10-23 |
| 1982170676 | Kyle Christian Anderson | Nurse Practitioner | 1205 S Grange Ave Ste 407, Sioux Falls, SD 57105-0410 | 2018-10-19 |
| Street Address |
4540 NE GLISAN ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97213-2333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447250360 | Rhonda Tierney | Internal Medicine | 4540 Ne Glisan St, Portland, OR 97213-2333 | 2005-07-21 |
| 1902417744 | Jeffrey Moua | Social Worker | 4540 Ne Glisan St, Portland, OR 97213-2333 | 2020-08-14 |
| 1790343952 | Penni Kleber | Registered Nurse | 4540 Ne Glisan St, Portland, OR 97213-2333 | 2019-06-03 |
| 1245792142 | Susan Marie Wetzel | Dietitian, Registered | 4540 Ne Glisan St, Portland, OR 97213-2333 | 2019-04-01 |
| 1669964169 | Donna Marie Winebarger | Registered Nurse | 4540 Ne Glisan St, Portland, OR 97213-2333 | 2018-05-31 |
| 1750894168 | Scott E Stewart | Registered Nurse | 4540 Ne Glisan St, Portland, OR 97213-2333 | 2017-11-07 |
| 1720521784 | Anzhelika Gavrilovich | Registered Nurse | 4540 Ne Glisan St, Portland, OR 97213-2333 | 2016-11-23 |
| 1104252295 | Barbara Tanner | Registered Nurse | 4540 Ne Glisan St, Portland, OR 97213-2333 | 2013-09-19 |
| 1619221389 | Marc R. Mcfarland | Registered Nurse | 4540 Ne Glisan St, Portland, OR 97213-2333 | 2012-11-02 |
| 1285987891 | Mark Scott Junker | Physical Therapist | 4540 Ne Glisan St, Portland, OR 97213-2333 | 2012-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1336775907 | Redpoint Physical Therapy and Performance LLC | Physical Therapist | 4200 Ne Flanders St Unit B, Portland, OR 97213 | 2020-03-16 |
| 1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
| 1619435617 | Aspiration of Character Counseling Services, LLC | Counselor | 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 | 2019-03-08 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1023507795 | Karissa Lynn Schwartz | Speech-Language Pathologist | Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 | 2018-05-08 |
| 1861944506 | James Livingston Taylor | Chiropractor | 5212 Ne Sacremento St., Portland, OR 97213 | 2016-10-28 |
| 1962958520 | Caitlin Turner | Massage Therapist | 4317 Ne Tillamook St., Portland, OR 97213 | 2016-09-01 |
| 1326407008 | Julianna Vermeys | Counselor | 4605 Ne Fremont St., 209a, Portland, OR 97213 | 2016-02-23 |
| 1881059822 | Thomas Michael Barrett | Counselor | 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 | 2015-12-17 |
| Find all providers in zip 97213 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073149928 | Ann De Voir | Registered Nurse | 2905 Sw Greenway Ave, Portland, OR 97201-1452 | 2020-03-22 |
| 1164070595 | Yvonne M Myette | Registered Nurse | 14834 Nw Orchid St, Portland, OR 97229-6941 | 2019-08-28 |
| 1275022675 | Jennifer Rohner | Registered Nurse | 10217 Ne Knott St, Portland, OR 97220-2861 | 2018-05-02 |
| 1710494117 | Lydia Ellen Hicks | Registered Nurse | 214 W. Longview Drive, Portland, TN 37148 | 2018-01-08 |
| 1871018309 | Erin Elizabeth Graff | Registered Nurse | 5112 Ne 47th Pl, Portland, OR 97218-2066 | 2017-08-05 |
| 1487181004 | Evan Dean | Registered Nurse | 1820 Se 50th Ave, Portland, OR 97215-3236 | 2017-05-12 |
| 1285174466 | Gina Elaine Marchi | Registered Nurse | 3635 Ne 45th Ave, Portland, OR 97213-1023 | 2017-03-07 |
| 1770820532 | Terry Edward Jess | Registered Nurse | 8512 Se 13th Ave, Portland, OR 97202-7106 | 2013-01-13 |
| 1942575881 | Greg Clarke Ferguson | Registered Nurse | 4522 Se Lincoln St, Portland, OR 97215-3744 | 2012-03-10 |
| 1366712770 | Pamela Poghen | Registered Nurse | 235 Hwy 52 E, Portland, TN 37148 | 2012-01-03 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.