NPI 1689774218 · live from the CMS NPI Registry
Scott H Anderson, OD
Optometrist in Beaverton, OR. National Provider Identifier 1689774218, active.
NPI record
| NPI | 1689774218 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 4855 Sw Western Ave, Beaverton, OR 97005 |
| Practice phone | 503-520-4975 |
| Mailing address | 13020 Sw Summit Ridge St, Tigard, OR 97224 |
| Enumerated | September 24, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OR-2299AT (OR) |
| Optometrist | 152W00000X | WA-OD00002027 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.