Individual
DR. JACOB ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8211
Mailing address
505 NE 87TH AVE STE 210, VANCOUVER, WA 98664-1988
(360) 828-5396
(360) 828-5455
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD61038497
WA
Other
Enumeration date
04/06/2016
Last updated
04/05/2021
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