Clifford Joe Anderson, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

MD09504 Issued in OR

Practice address

233 NW 16TH Ave
Portland, OR 97209-2630

Phone

(503) 223-6480

Fax

(503) 294-1868

NPI assigned

Jun 22, 2005

Last updated

Aug 22, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allergy Asthma & Dermatology Associates PC

  dba Allergy Associates, PC

  • Dermatology Physician
  • Portland, OR
  • NPI 1801849849

  Allergy & Immunology

  NPD (past)
• Know Allergy LLC

  • Allergy Physician
  • Portland, OR
  • NPI 1265034987
  NPD (past)
• West Hills Allergy and Asthma Associates LLC

  • Allergy Physician
  • Portland, OR
  • NPI 1336744713
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219363200000",
    "number": "1013913409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 NW 16TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092630",
            "telephone_number": "503-297-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 NW 16TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092630",
            "telephone_number": "503-223-6480",
            "fax_number": "503-294-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CLIFFORD",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2008-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "OR",
            "license": "MD09504",
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "WA",
            "license": "MD00019556",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OR",
            "license": "MD09504",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "OR",
            "license": "MD09504",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "WA",
            "license": "MD00019556",
            "primary": false
        },
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "OR",
            "license": "MD09504",
            "primary": false
        },
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "WA",
            "license": "MD00019556",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Anderson
• Christina Heidi Anderson
• Christina L.M. Anderson
• Christine Anderson, LPC
• Christopher Laurence Anderson, BS
• Connie J Anderson, FNP
• Corey Darryl Anderson, PSY.D.
• Corey Dean Anderson
• Courtney Anderson
• Craig Anderson, PT

• Allergy & Immunology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Allergy & Immunology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.