Individual
DR. SCOTT H ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(503) 520-4975
Mailing address
13020 SW SUMMIT RIDGE ST, TIGARD, OR 97224-6138
(503) 643-7565
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OR-2299AT
OR
152W00000X
Optometrist
WA-OD00002027
WA
Other
Enumeration date
09/24/2006
Last updated
07/08/2007
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