| Philip Bradley Anderson, MD | |
| 
					2700 Se Stratus Ave, Mcminnville, OR 97128-6255  | |
| (615) 849-5685 | |
| Not Available | 
| Full Name | Philip Bradley Anderson | 
|---|---|
| Gender | Male | 
| Speciality | Psychiatry & Neurology - Psychiatry | 
| Location | 2700 Se Stratus Ave, Mcminnville, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1780673343 | NPI | - | NPPES | 
| 3376285 | Medicaid | TN | |
| 4225056 | Other | AETNA | |
| 500640579 | Medicaid | OR | |
| 0129072 | Other | TN | BLUE CROSS BLUE SHIELD | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD18177 (Tennessee) | Secondary | 
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD23029 (Oregon) | Primary | 
| Entity Name | Willamette Valley Clinics Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1790740520 PECOS PAC ID: 6103729314 Enrollment ID: O20040127000785  | 
| 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  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Philip Bradley Anderson, MD 2700 Se Stratus Ave, Mcminnville, OR 97128-6255 Ph: (615) 849-5685  | Philip Bradley Anderson, MD 2700 Se Stratus Ave, Mcminnville, OR 97128-6255 Ph: (615) 849-5685  | 
Sally L Godard, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 627 Ne Evans St, Mcminnville, OR 97128 Phone: 503-434-7523  | |
Holly Hoch, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 627 N Evans, Mcminnville, OR 97128 Phone: 503-434-7523  | |
Dr. Jim A James, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2700 Se Stratus Ave, Mcminnville, OR 97128 Phone: 503-474-2722 Fax: 503-474-3306  | |
Dr. Veneta Dimitrova Stoyanova, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 420 Ne 5th St, Family And Youth Programs, Mcminnville, OR 97128 Phone: 503-957-4185 Fax: 503-418-5775  |