Individual
JOSEPH ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
1714 NE 50TH AVE, PORTLAND, OR 97213-2034
(503) 314-4528
Mailing address
1714 NE 50TH AVE, PORTLAND, OR 97213-2034
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
213701
OR
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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