Individual
DR. DOUGLAS W ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
18160 COTTONWOOD RD, PMB 258, SUNRIVER, OR 97707
(503) 781-9657
Mailing address
18160 COTTONWOOD RD, PMB 258, SUNRIVER, OR 97707
(503) 781-9657
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D5145
OR
Other
Enumeration date
05/11/2007
Last updated
01/19/2013
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