| James R. Anderson Dmd, P.c. | |
|
19059 Se Division St Gresham OR 97030-5165 | |
| (503) 761-4711 | |
| (503) 761-4976 |
| Full Name | James R. Anderson Dmd, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 19059 Se Division St, Gresham, Oregon |
| Authorized Official Name and Position | James R. Anderson (PRESIDENT) |
| Authorized Official Contact | 5037614711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James R. Anderson Dmd, P.c. 19059 Se Division St Gresham OR 97030-5165 Ph: (503) 761-4711 | James R. Anderson Dmd, P.c. 19059 Se Division St Gresham OR 97030-5165 Ph: (503) 761-4711 |
| NPI Number | 1770628976 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770628976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D7285 (Oregon) | Primary |
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