Individual
GRECORI ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2265 EXCHANGE ST, ASTORIA, OR 97103-3331
(503) 338-4075
(503) 338-4076
Mailing address
2111 EXCHANGE ST, ASTORIA, OR 97103-3329
(503) 325-4321
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD187484
OR
Other
Enumeration date
06/24/2011
Last updated
02/10/2022
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