Individual
CARL BRADFORD ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M..D.
Contact information
Practice address
5050 NE HOYT ST STE B48, PORTLAND, OR 97213-2946
(503) 215-5458
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
01037871A
IN
2083X0100X
Occupational Medicine Physician
Primary
MD181530
OR
Other
Enumeration date
03/21/2007
Last updated
12/02/2022
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