MR. David Anderson, STUDENT
NPI #1508220955 in Forest Grove, Oregon
Provider Information
- NPI Number
- 1508220955
- Entity Type
- Individual
- Name
- MR. David Anderson, STUDENT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Credential
- STUDENT
- Enumeration Date
- Apr 12, 2016
- Last Updated
- Apr 12, 2016
Practice Location
- Address
- 2043 COLLEGE WAY
- City
- Forest Grove
- State
- Oregon
- ZIP Code
- 97116-1756
- Phone
- (208) 360-3968
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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