Individual
LISA ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5050 NE HOYT ST STE 138, PORTLAND, OR 97213-2955
(503) 238-1062
(503) 233-1588
Mailing address
5050 NE HOYT ST STE 138, PORTLAND, OR 97213-2955
(503) 238-1062
(503) 233-1588
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA160150
OR
Other
Enumeration date
01/13/2011
Last updated
02/17/2014
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