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NPI Verification

National Provider Identifier: 1336607142

Alex Charles Anderson

Individual Provider

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (2)

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

200 MULLINS DR

LEBANON, OR 973553983

Phone: 509-939-9846

NPI Enumeration Date

March 11, 2019

NPI Number

1336607142

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry