Organization
CRAIG D ANDERSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG DOUGLAS ANDERSON MD (PRESIDENT)
(503) 371-4647
Entity
Organization
Contact information
Practice address
4999 SKYLINE RD S, SUITE 100, SALEM, OR 97306-2009
(503) 371-4647
Mailing address
PO BOX 4008, PORTLAND, OR 97208-4008
(503) 372-2740
(503) 372-2754
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC8908
RAILROAD MEDICARE
OR
Enumeration date
06/17/2006
Last updated
11/29/2007
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