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Individual

JOHN CHRISTOPHER ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9775 SE SUNNYSIDE ROAD, SUITE 200, CLACKAMAS, OR 97015
(503) 655-8471
Mailing address
4744 SE YAMHILL STREET, PORTLAND, OR 97215
(503) 475-9813

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD24145
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
286282
OR
01
P00186382
RR MEDICARE - PROVIDENCE
OR
Enumeration date
06/05/2006
Last updated
03/07/2023
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