Liberty Spine & Pain Center P C

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

LIBERTY SPINE & PAIN CENTER P C

Practice address

760 High St NE Ste 760
Salem, OR 97301-2440

Phone

(503) 371-4647

Fax

(503) 584-7854

NPI assigned

Nov 21, 2017

Organization subpart

No

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

Authorized official

Name

Craig D Anderson, MDNPI 1629014824

Title

President

Phone

(503) 569-3254

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Craig Douglas Anderson, MD

  • Pain Medicine (Anesthesiology) Physician
  • Salem, OR
  • NPI 1629014824
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1578077954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 HIGH ST NE STE 760",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012440",
            "telephone_number": "503-569-3254",
            "fax_number": "503-584-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 HIGH ST NE STE 760",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012440",
            "telephone_number": "503-371-4647",
            "fax_number": "503-584-7854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY SPINE & PAIN CENTER P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-21",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-569-3254",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bushra Liaqat, DDS
• Liberty Dental Care PC
• Liberty Denture Clinic, LLC
• Liberty House
• Liberty Mental Health Clinic
• David Lichtenberger
• David John Lichter, MD
• Melanie Beverlee Liddell, RPH.
• Rachael Liebman, NP
• Katherine Ann Liermann, RDH

• Interventional Pain Medicine Physician in Salem, OR
• Providers in Salem, OR by specialty
• Interventional Pain Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.