Individual
DR. STEVEN BLAINE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 N SANTIAM HWY, LEBANON, OR 97355-4361
(541) 451-6960
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD220471
OR
207Q00000X
Family Medicine Physician
T-4324
MS
Other
Enumeration date
05/04/2021
Last updated
09/19/2024
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