Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Telia Nicole Anderson-Grant, NONCREDENTIAL

Individual provider Case Manager/Care Coordinator · NPI 1952440364

Telia Nicole Anderson-Grant, NONCREDENTIAL is a Case Manager/Care Coordinator in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2007
Specialties on file
2

Practice location Address checks out

12600 SE Stark St
Portland, OR 97233-1058
Phone: (503) 477-8208
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Doula (primary) Taxonomy 374J00000X (OR)
Case Manager/Care Coordinator Taxonomy 171M00000X (OR)

Record details

NPI number1952440364
Entity typeIndividual (Type 1)
GenderFemale
Credentials NONCREDENTIAL
Sole proprietorYes
NPI enumeratedFebruary 5, 2007
Last updated in NPPESJuly 12, 2023
Certification dateJuly 12, 2023

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