NPI 1245323724 · live from the CMS NPI Registry
Brad M Anderson, M.D.
Family Medicine, Addiction Medicine in Portland, OR. National Provider Identifier 1245323724, active.
NPI record
| NPI | 1245323724 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Addiction Medicine 207QA0401X |
| Practice location | 3550 N Interstate Ave, Portland, OR 97227 |
| Practice phone | 503-249-3434 |
| Enumerated | October 2, 2006 |
| Last updated | February 4, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine, Addiction Medicine primary | 207QA0401X | MD19334 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.