Anderson, Clifford Joe
Anderson, Clifford Joe is an individual health care provider with primary practice located at 233 Nw 16Th Ave , Portland OR 97209-2630. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Anderson, Clifford Joe can be contacted via phone (503) 223-6480.Contact Information
Primary practice address
233 Nw 16Th Ave
Portland OR 97209-2630
Phone: (503) 223-6480
Fax: (503) 294-1868
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | MD09504 | Oregon |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | MD00019556 | Washington |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | MD09504 | Oregon |
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | MD09504 | Oregon |
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | MD00019556 | Washington |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology | 207KI0005X | MD09504 | Oregon |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology | 207KI0005X | MD00019556 | Washington |
Profile Details
| NPI number | 1013913409 |
|---|---|
| LBN Legal business name | Anderson, Clifford Joe |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Aug 22nd, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013913409 | NPPES |
| Oregon | MEDICAID | 004028 |
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