Individual
CRAIG DOUGLAS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 MILLER ST SE # 100, SALEM, OR 97302
(503) 371-4647
(503) 584-7856
Mailing address
350 MILLER ST SE # 100, SALEM, OR 97302-4272
(503) 371-4647
(503) 584-7856
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD20636
OR
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD20636
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150514
—
OR
Enumeration date
06/22/2006
Last updated
01/23/2019
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