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DR. CLIFFORD JOE ANDERSON MD NPI 1013913409


NPI Information

NPI: 1013913409
Provider Name: DR. CLIFFORD JOE ANDERSON, MD
Classification: Allergy & Immunology - 207K00000X
Entity Type: Individual
Address:
233 NW 16TH AVE
PORTLAND, OR
ZIP 97209
Phone: (503) 223-6480
Get Directions

DR. Clifford Joe Anderson, MD is an allergy immunology in Portland, OR. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. DR. Clifford Joe Anderson, MD NPI is 1013913409. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

233 NW 16TH AVE
PORTLAND, OR
ZIP 97209-630
Phone: (503) 223-6480
Fax: (503) 294-1868

The enumeration date for this NPI number is 6/22/2005 and was last updated on 8/22/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207K00000XAllergy & ImmunologyMD00019556WASHINGTONNo
2207RR0500XInternal MedicineRheumatologyMD09504OREGONNo
3207KA0200XAllergy & ImmunologyAllergyMD09504OREGONNo
4207KA0200XAllergy & ImmunologyAllergyMD00019556WASHINGTONNo
5207KI0005XAllergy & ImmunologyClinical & Laboratory ImmunologyMD09504OREGONNo
6207KI0005XAllergy & ImmunologyClinical & Laboratory ImmunologyMD00019556WASHINGTONNo
7207K00000XAllergy & ImmunologyMD09504OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C92092MEDICARE UPIN
2G000615356MEDICARE PINWASHINGTON
3004028MEDICAIDOREGON
4R011WCJTTAMEDICARE PINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.