Individual
DR. ANNE ELIZABETH RADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2801 N GANTENBEIN AVE, DEPARTMENT OF PATHOLOGY, PORTLAND, OR 97227-1623
(503) 268-4802
(503) 268-4801
Mailing address
2801 N GANTENBEIN AVE, DEPARTMENT OF PATHOLOGY, PORTLAND, OR 97227-1623
(503) 413-4737
(503) 413-2982
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD00044850
WA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD21216
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151189
OR WELFARE
OR
05
—
151189
—
OR
Enumeration date
02/02/2007
Last updated
04/21/2009
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