Individual
LANCE EMANUEL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
921 SW WASHINGTON ST, SUITE 460, PORTLAND, OR 97205-2827
(503) 827-0298
(503) 827-0299
Mailing address
921 SW WASHINGTON ST, SUITE 460, PORTLAND, OR 97205-2827
(503) 827-0298
(503) 827-0299
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD22975
OR
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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