Mr. Kyle Edward Anderson
PMHNP-BC | Nurse Practitioner - Psych/Mental Health
1410 Ne 106th Ave, Portland
Oregon, 97220-3934
210-289-5953
Mr. Kyle Edward Anderson is a Portland, Oregon based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Mr. Kyle Edward Anderson is 202007455NP-PP for Psych/Mental Health in Oregon. His current practice location is 1410 Ne 106th Ave, Portland. Patients can reach him at 210-289-5953. Mr. Kyle Edward Anderson is PMHNP-BC with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1912540980.
Mr. Kyle Edward Anderson provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Mr. Kyle Edward Anderson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mr. Kyle Edward Anderson |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Male |
| Credentials: | PMHNP-BC |
| Practice Address: | 1410 Ne 106th Ave, Portland,
Oregon, 97220-3934 |
| Phone: | 210-289-5953 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1912540980 |
| NPI Enumeration Date: | 23 Oct, 2019 |
| NPI Last Update On: | 05 Nov, 2020 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Kyle Edward Anderson are as mentioned below.
| License Number | Specialization | State | Status | |
| 202007455NP-PP | Psych/Mental Health | Oregon | Primary | |
| AP143637 | Psych/Mental Health | Texas | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mr. Kyle Edward Anderson
1410 Ne 106th Ave,
Portland, Oregon |
| Zip: | 97220-3934 |
| Phone Number: | 210-289-5953 |
Patients can reach Mr. Kyle Edward Anderson at
1410 Ne 106th Ave, Portland, Oregon or can
call to book an appointment on 210-289-5953.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.