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DR. CLIFFORD JOE ANDERSON MD

Allergy and Immunology

Portland, Oregon

Provider NPI: 1013913409

Provider Information:
DR. CLIFFORD JOE ANDERSON MD


Practice Location:
233 NW 16TH AVE  PORTLAND, OR 97209 US
Tel: 503-223-6480  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
ORMD09504
N207K00000XPhysicians
Allergy & Immunology
WAMD00019556
N207RR0500XPhysicians
Internal Medicine
ORMD09504
N207KI0005XPhysicians
Allergy & Immunology
WAMD00019556
N207KA0200XPhysicians
Allergy & Immunology
ORMD09504
N207KA0200XPhysicians
Allergy & Immunology
WAMD00019556
N207KI0005XPhysicians
Allergy & Immunology
ORMD09504

Other Provider Identifiers:

IssuerNumberStateType
004028OR05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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