NPI 1629014824 · live from the CMS NPI Registry
Craig Douglas Anderson, MD
Anesthesiology, Pain Medicine in Salem, OR. National Provider Identifier 1629014824, active.
NPI record
| NPI | 1629014824 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology, Pain Medicine 207LP2900X |
| Practice location | 350 Miller St Se # 100, Salem, OR 97302 |
| Practice phone | 503-371-4647 |
| Enumerated | June 22, 2006 |
| Last updated | January 23, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology, Pain Medicine primary | 207LP2900X | MD20636 (OR) |
| Anesthesiology | 207L00000X | MD20636 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.