Sharon Anderson, MD
Individual provider Active NPI Nephrology Physician · Portland, OR
NPI 1285642710 · NPPES record last updated Jul 10, 2007
Key facts
- NPI
- 1285642710
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- MD12252 (OR)
- Practice address
- 3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011 - Phone
- (503) 494-3442
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD12252 | OR | MD | Nephrology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD12252 | OR | Yes |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Mailing address
3314 SW US Veterans Hospital Rd
Pp262
Portland, OR 97239-2940
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264929 | Medicaid | OR |
Other providers in Portland, OR
- Ryan Eric Anderson
- Saleena Anderson
- Sandra C Anderson
- Scott Anderson
- Shannon Donovan Anderson
- Shea Landon Anderson
- Shelby Victoria Anderson
- Susan Anderson
- Suzannah Anderson
- Sydney Elyse Anderson
All providers in Portland, OR · Nephrology Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.