Individual
JARED ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-6400
(503) 494-5050
Mailing address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-6400
(503) 494-5050
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA206701
OR
Other
Enumeration date
09/10/2015
Last updated
02/23/2022
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