Individual
DR. JOHN MICHAEL JEREMY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
620 NW 11TH ST # M201, HERMISTON, OR 97838-6941
(541) 289-7075
(541) 289-1189
Mailing address
620 NW 11TH ST STE 201, HERMISTON, OR 97838-6936
(541) 289-4118
(541) 667-3484
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
DO26732
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240454
—
OR
01
—
DO26732
MD LICENSE
OR
Enumeration date
06/21/2006
Last updated
10/31/2023
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