Organization
JAMES R. ANDERSON DMD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES R. ANDERSON DMD (PRESIDENT)
(503) 761-4711
Entity
Organization
Contact information
Practice address
19059 SE DIVISION ST, GRESHAM, OR 97030-5165
(503) 761-4711
(503) 761-4976
Mailing address
19059 SE DIVISION ST, GRESHAM, OR 97030-5165
(503) 761-4711
(503) 761-4976
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D7285
OR
Other
Enumeration date
02/21/2007
Last updated
08/22/2020
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