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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JORDAN RODERICK ANDERSON, D.O.

Active

Psychiatry · PORTLAND, OR

Registration Details

NPI Number
1255770285
Provider Type
Individual
Gender
Male
NPI Issued
Jun 24, 2013 (12.824695307348 yrs)
Last Updated
Feb 17, 2021
Licenses
LP03060 (RI)
DO193506 (OR)
DO193506 (OR)

Practice Information

Address
3181 SW SAM JACKSON PARK RD
PORTLAND, OR, 972393011
Browse OR providers · Browse ZIP 97239
Phone
5034946176
Fax
5034946152
Primary Specialty
Psychiatry
2084P0800X
Additional Specialty
Neurology
Additional Specialty
Psychiatry

Other Psychiatry Providers in PORTLAND, OR

Name Credential NPI
ELIZABETH BIRECREE MD 1124023049
DR. EDWARD F GREEN M.D. 1477559102
DR. CHARLES HERMAN KUTTNER M.D. 1417954512
DR. HENRY GRASS MD 1255339404
ROBERT GOLD MD 1558361808
DR. CHEN-WEN CHRIS HEH M.D. 1467449629
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.