NPI 1316331259 · live from the CMS NPI Registry
Susan Patricia Anduaga Bocanegra, MD
Internal Medicine in Beaverton, OR. National Provider Identifier 1316331259, active.
NPI record
| NPI | 1316331259 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 4855 Sw Western Ave, Beaverton, OR 97005 |
| Practice phone | 503-643-7565 |
| Enumerated | March 27, 2015 |
| Last updated | May 4, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics | 208000000X | 58314 (AZ) |
| Internal Medicine primary | 207R00000X | 58314 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.