Individual
HAROLD F ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1813 W HARVARD AVE, SUITE 201, ROSEBURG, OR 97470-2752
(541) 440-6390
(541) 440-6392
Mailing address
1813 W HARVARD AVE, SUITE 201, ROSEBURG, OR 97470-2752
(541) 440-6390
(541) 440-6392
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD07847
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001115
—
OR
Enumeration date
12/12/2006
Last updated
07/08/2007
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