Individual
DR. BRAD ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1255 HILYARD ST, EUGENE, OR 97401-3718
(503) 686-7300
Mailing address
PO BOX 4078, PORTLAND, OR 97208-4078
(888) 633-0086
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD26641
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057221022
BCBS
—
01
—
214073
WASHINGTON L&I
—
05
—
278471
—
OR
05
—
8465031
—
WA
01
—
I64249
LIPA
—
Enumeration date
07/24/2006
Last updated
12/20/2024
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