Jodee Marie Anderson, MD
Pediatrics, Neonatal-Perinatal Medicine in Portland, OR. Individual provider (NPI-1).
NPI number1699862649
StatusActive
Last updated in NPPESJul 13, 2007
Details
- NPI
- 1699862649
- Entity type
- Individual (NPI-1)
- Name
- Jodee Marie Anderson
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 9, 2006
- Last updated
- Jul 13, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | MD26587 | OR | Yes |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | L9601 | TX |
Practice location
3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
Phone 503-494-8122
Mailing address
707 Sw Gaines StCdrc-P
Portland, OR 97239-2901
Phone 150-349-4603
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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