Individual
DR. JAY CHRISTOPHER ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9555 SW BARNES RD, STE 150, PORTLAND, OR 97225-6663
(503) 297-7403
(503) 384-9908
Mailing address
9555 SW BARNES RD, STE 150, PORTLAND, OR 97225-6663
(503) 297-7403
(503) 384-9908
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD25119
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022597
—
OR
05
—
1022183
—
WA
Enumeration date
05/23/2005
Last updated
12/22/2011
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