IndividualActive
Bryon Anderson
NPI 1861297764 · Surgical Physician Assistant · Bend, OR
Provider details
- NPI number
- 1861297764
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PA217115 (OR)
Mailing address
Po Box 71781
Springfield, OR 97475-0215
Registry dates
- Enumerated
- 2025-02-14
- Last updated
- 2025-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.