Individual provider · Type 1 NPI

Jared Anderson, PA-C

Surgical Physician Assistant · Portland, OR

NPI number 1699143446 Active

Practice location

3303 S Bond Ave
Portland, OR 97239-4501

Fax (503) 494-5050

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA206701 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1699143446

Jared Anderson, PA-C's National Provider Identifier is 1699143446, issued on Sep 10, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, OR. The record was last updated on Feb 23, 2022.