NPI 1568526192 · live from the CMS NPI Registry
Corinne J Anderson, dmd
Dentist, General Practice in Milwaukie, OR. National Provider Identifier 1568526192, active.
NPI record
| NPI | 1568526192 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 3016 Se Courtney Rd, Milwaukie, OR 97222 |
| Practice phone | 503-659-1055 |
| Mailing address | 1677 Molalla Ave, Oregon City, OR 97045 |
| Enumerated | December 20, 2006 |
| Last updated | September 28, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | D8857 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.