Anderson, Anthony D

Anderson, Anthony D is an individual health care provider with primary practice located at 4560 Se International Way Ste 100 , Milwaukie OR 97222-4628. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Anderson, Anthony D can be contacted via phone (971) 206-5166.

Contact Information

Primary practice address
4560 Se International Way Ste 100 Milwaukie OR 97222-4628
Phone: (971) 206-5166
Fax: (971) 206-5211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA00019881 Washington

Profile Details

NPI number 1922108992
LBN Legal business name Anderson, Anthony D
Credentials LMP,PTA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated May 19th, 2010 - about 15 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 1922108992 NPPES
Washington Other 0189046 LABOR AND INDUSTRIES

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