Organization
JOHN C. ANDERSON, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ANDERSON M.D. (OWNER)
(503) 489-1122
Entity
Organization
Contact information
Practice address
831 NW COUNCIL DR, SUITE 130, GRESHAM, OR 97030-3721
(503) 489-1122
(503) 489-1123
Mailing address
831 NW COUNCIL DR, SUITE 130, GRESHAM, OR 97030-3721
(503) 489-1122
(503) 489-1123
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD26880
OR
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD26880
OR
Other
Enumeration date
06/12/2012
Last updated
02/24/2013
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