Individual
DR. ANGELA N. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
890 OAK ST SE, SALEM, OR 97301-3905
(503) 814-3334
Mailing address
PO BOX 14001, SALEM, OR 97309-5014
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
47400
WI
207L00000X
Anesthesiology Physician
Primary
DO27698
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006381
—
OR
05
—
808175200
—
ID
05
—
8491227
—
WA
Enumeration date
04/20/2006
Last updated
07/27/2022
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