Individual
BRAD M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 249-3434
(503) 249-5508
Mailing address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 249-3434
(503) 249-5508
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
MD19334
OR
Other
Enumeration date
10/02/2006
Last updated
02/04/2022
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