IndividualActive
Jared Anderson, PA-C
NPI 1699143446 · Surgical Physician Assistant · Portland, OR
Provider details
- NPI number
- 1699143446
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA206701 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3303 S Bond Ave
Portland, OR 97239-4501
Phone: (503) 494-6400
Fax: (503) 494-5050
Approximate (ZIP-level) locationGet directions
Mailing address
3303 S Bond Ave
Portland, OR 97239-4501
Registry dates
- Enumerated
- 2015-09-10
- Last updated
- 2022-02-23
- Certified
- 2022-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.