Individual
DR. JOHN DANA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 NE 102ND AVE, PORTLAND, OR 97220-3804
(503) 813-2000
Mailing address
1700 NE 102ND AVE, PORTLAND, OR 97220-3804
(503) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD186692
OR
Other
Enumeration date
10/23/2007
Last updated
09/26/2018
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