# CRAIG D ANDERSON MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073558789
- **Authorized official:** CRAIG DOUGLAS ANDERSON MD (PRESIDENT)
- **Authorized official phone:** (503) 371-4647

## Contact information

- **Practice address:** 4999 SKYLINE RD S, SUITE 100, SALEM, OR 97306-2009
- **Practice address phone:** (503) 371-4647
- **Mailing address:** PO BOX 4008, PORTLAND, OR 97208-4008
- **Mailing address phone:** (503) 372-2740
- **Mailing address fax:** (503) 372-2754

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/17/2006
- **Last updated:** 11/29/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DC8908 | RAILROAD MEDICARE | OR |