Anderson, Craig Douglas

Anderson, Craig Douglas is an individual health care provider with primary practice located at 350 Miller St Se # 100 , Salem OR 97302. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Anderson, Craig Douglas can be contacted via phone (503) 371-4647.

Contact Information

Primary practice address
350 Miller St Se # 100 Salem OR 97302
Phone: (503) 371-4647
Fax: (503) 584-7856
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD20636 Oregon
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD20636 Oregon

Profile Details

NPI number 1629014824
LBN Legal business name Anderson, Craig Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jan 23rd, 2019 - about 5 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 1629014824 NPPES
Oregon MEDICAID 150514

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