NPIMap

Lori Ann Anderson, MD

Individual provider Active NPI Pediatrics Physician · Gresham, OR

NPI 1508060849 · NPPES record last updated Feb 5, 2026

Key facts

NPI
1508060849
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
MD29061 (OR)
Practice address
25050 SE Stark St Ste 300
Gresham, OR 97030-3388
Phone
(503) 667-8878
Fax
(503) 667-0310
NPI assigned
Jun 12, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD29061ORMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Pediatrics, LLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: landerson19314@direct.lhs.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD29061 OR Yes

Addresses

Primary practice location

25050 SE Stark St Ste 300
Gresham, OR 97030-3388

Mailing address

25050 SE Stark St Ste 300
Gresham, OR 97030-3388
Phone (503) 667-8878

Other providers in Gresham, OR

All providers in Gresham, OR · Pediatrics Physician in Oregon

Sources for this page

Verify at the official NPI Registry.