Individual
DR. JORDAN RODERICK ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-6176
(503) 494-6152
Mailing address
PO BOX 4399, PORTLAND, OR 97208-4399
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
DO193506
OR
2084N0400X
Neurology Physician
LP03060
RI
2084P0800X
Psychiatry Physician
Primary
DO193506
OR
Other
Enumeration date
06/24/2013
Last updated
02/17/2021
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