NPI 1336607142 · live from the CMS NPI Registry
Alex Charles Anderson
Family Medicine in Lebanon, OR. National Provider Identifier 1336607142, active.
NPI record
| NPI | 1336607142 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 200 Mullins Dr, Lebanon, OR 97355 |
| Practice phone | 509-939-9846 |
| Enumerated | March 11, 2019 |
| Last updated | July 17, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Family Medicine primary | 207Q00000X | DO226409 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.