Andersen, Jay Christopher

Andersen, Jay Christopher is an individual health care provider with primary practice located at 9555 Sw Barnes Rd Ste 150, Portland OR 97225-6663. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Andersen, Jay Christopher can be contacted via phone (503) 297-7403.

Contact Information

Primary practice address
9555 Sw Barnes Rd Ste 150 Portland OR 97225-6663
Phone: (503) 297-7403
Fax: (503) 384-9908
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD25119 Oregon

Profile Details

NPI number 1922001023
LBN Legal business name Andersen, Jay Christopher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Dec 22nd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922001023 NPPES
Oregon MEDICAID 022597
Oregon MEDICAID 1022183

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