NPI 1013913409 · live from the CMS NPI Registry
Clifford Joe Anderson, MD
Allergy & Immunology in Portland, OR. National Provider Identifier 1013913409, active.
NPI record
| NPI | 1013913409 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Allergy & Immunology 207K00000X |
| Practice location | 233 Nw 16th Ave, Portland, OR 97209 |
| Practice phone | 503-223-6480 |
| Enumerated | June 22, 2005 |
| Last updated | August 22, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy & Immunology primary | 207K00000X | MD09504 (OR) |
| Allergy & Immunology | 207K00000X | MD00019556 (WA) |
| Internal Medicine, Rheumatology | 207RR0500X | MD09504 (OR) |
| Allergy & Immunology, Allergy | 207KA0200X | MD09504 (OR) |
| Allergy & Immunology, Allergy | 207KA0200X | MD00019556 (WA) |
| Allergy & Immunology, Clinical & Laboratory Immunology | 207KI0005X | MD09504 (OR) |
| Allergy & Immunology, Clinical & Laboratory Immunology | 207KI0005X | MD00019556 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.