Individual
DOUGLAS EDWARD ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 NW MERCY DR STE 300, ROSEBURG, OR 97471-2348
(541) 677-1555
(541) 677-2113
Mailing address
201 NW MEDICAL LOOP STE 190, ROSEBURG, OR 97471-8835
(541) 677-4319
(541) 677-2294
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD192562
OR
Other
Enumeration date
06/09/2005
Last updated
02/21/2020
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