| Carl Bradford Anderson, MD | |
|
5050 Ne Hoyt St Ste B48, Portland, OR 97213-2946 | |
| (503) 215-5458 | |
| Not Available |
| Full Name | Carl Bradford Anderson |
|---|---|
| Gender | Male |
| Speciality | Preventive Medicine - Occupational Medicine |
| Location | 5050 Ne Hoyt St Ste B48, Portland, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871619080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | MD181530 (Oregon) | Primary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 01037871A (Indiana) | Secondary |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
| Entity Name | Providence Health & Services - Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952482275 PECOS PAC ID: 3072415652 Enrollment ID: O20040123000519 |
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053862714 PECOS PAC ID: 7315856010 Enrollment ID: O20040304001330 |
| Mailing Address | Practice Location Address |
|---|---|
| Carl Bradford Anderson, MD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Carl Bradford Anderson, MD 5050 Ne Hoyt St Ste B48, Portland, OR 97213-2946 Ph: (503) 215-5458 |
Milton J Gavlick, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1750 Nw Naito Pkwy, Suite 100b, Portland, OR 97209 Phone: 503-216-7960 | |
Dr. Kathy Y Chang, MD, MPH Preventive Medicine Medicare: Medicare Enrolled Practice Location: 3449 N Anchor St, Suite 500, Portland, OR 97217 Phone: 503-285-6627 | |
Dr. Kalaiselvi Balasubramanian Williams, MD, MPH Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd # L475, Portland, OR 97239 Phone: 503-494-6551 Fax: 503-494-0979 | |
Andrew Marc Friede, MD, MPH Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Sw 5th Ave, Portland, OR 97204 Phone: 260-577-2266 | |
Dr. Bradley Michael Buchheit, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-6551 | |
Dr. Ruvin Victor Breen, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 19500 Se Stark St, Portland, OR 97233 Phone: 503-669-3900 | |
Dr. Jock Thomas Pribnow, MD, MPH Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 19500 Se Stark St, Portland, OR 97233 Phone: 503-669-5023 |