Lance Emanuel Anderson, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD22975 Issued in OR

Practice address

921 SW Washington St
Suite 460
Portland, OR 97205-2827

Phone

(503) 827-0298

Fax

(503) 827-0299

NPI assigned

Sep 11, 2007

Last updated

Sep 11, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Northwest Psychiatric Group, PC

  • Psychiatry Physician
  • Portland, OR
  • NPI 1215024377
  NPD (past) Authorized official

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1891980918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 SW WASHINGTON ST",
            "address_2": "SUITE 460",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052827",
            "telephone_number": "503-827-0298",
            "fax_number": "503-827-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 SW WASHINGTON ST",
            "address_2": "SUITE 460",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052827",
            "telephone_number": "503-827-0298",
            "fax_number": "503-827-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LANCE",
        "middle_name": "EMANUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD22975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Davis Anderson, FNP
• Kimberley Anderson, RN, BSN, QMHP
• Kori Lynn Anderson, FNP
• Kristin Brittany Anderson
• Kyle Anderson, RN, BSN
• Laura Ann Anderson, LMT
• Laura Catherine Anderson, OTR/L
• Laura F Anderson, CPM LDM
• Lindsay Anderson
• Lindsay Morgan Anderson

• Psychiatry Physician in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.