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Individual

DR. JAMES ROBERT ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
19059 SE DIVISION ST, GRESHAM, OR 97030-5165
(503) 661-4711
(503) 661-4777
Mailing address
19059 SE DIVISION ST, GRESHAM, OR 97030-5165
(503) 661-4711
(503) 661-4777

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7285
OR

Other

Enumeration date
09/06/2006
Last updated
12/29/2015
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