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Individual

ALEX CHARLES ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
200 MULLINS DR, LEBANON, OR 97355-3983
(509) 939-9846
Mailing address
200 MULLINS DR, LEBANON, OR 97355-3983
(509) 939-9846

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO226409
OR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/11/2019
Last updated
07/17/2025
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