NPI 1639533557 · live from the CMS NPI Registry
Jacob Anderson, M.D.
Anesthesiology in Portland, OR. National Provider Identifier 1639533557, active.
NPI record
| NPI | 1639533557 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 |
| Practice phone | 503-494-8211 |
| Mailing address | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 |
| Enumerated | April 6, 2016 |
| Last updated | April 5, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | MD61038497 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.