Derek Nathan Anderson (NPI# 1255491635, PAC ID# 3476568858) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1255491635 |
PAC ID by PECOS | 3476568858 |
Professional Enrollment ID | I20150408002294 |
Full Name | Derek Nathan Anderson |
Organization Legal Name | PORTLAND ADVENTIST MEDICAL CENTER |
Address |
19220 Mcloughlin Blvd Gladstone OR 97027-2642 |
Phone Number | 5036552404 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
Graduation Year | 2004 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 7012827876 |
Number of Group Practice Members | 196 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
380060 | ADVENTIST MEDICAL CENTER |
380038 | PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER |
380082 | PROVIDENCE MILWAUKIE HOSPITAL |
380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
14450 Se Royer Rd, Damascus, OR 97089-8730 | 5036585521 | PORTLAND ADVENTIST MEDICAL CENTER |
19220 Mcloughlin Blvd, Gladstone, OR 97027-2642 | 5036552404 | PORTLAND ADVENTIST MEDICAL CENTER |
10101 Se Main St, Suite 1001, Portland, OR 97216-2456 | 5032553404 | PORTLAND ADVENTIST MEDICAL CENTER |
Organization Legal Name | PORTLAND ADVENTIST MEDICAL CENTER |
Physicians | 159 |
Name | Specialty | Organization | Address |
---|---|---|---|
Daniel Abraham Feldman | Interventional Cardiology | Portland Adventist Medical Center | 2700 Se Stratus Ave, Unit 406, Mcminnville, OR 97128-6258 |
Valerie Warner Lanham | Clinical Social Worker | Portland Adventist Medical Center | 10201 Se Main St, Suite 29, Portland, OR 97216-2937 |
Tamara M Wostal | Nurse Practitioner | Portland Adventist Medical Center | 1350 Ne 122nd Ave, Suite 200, Portland, OR 97230-2011 |
Cory V Carlston | Hand Surgery | Portland Adventist Medical Center | 10000 Se Main St, Suite 224, Portland, OR 97216-2469 |
Angela V Lewis | Physician Assistant | Portland Adventist Medical Center | 14450 Se Royer Rd, Damascus, OR 97089-8730 |
Christopher M Love | Family Medicine | Portland Adventist Medical Center | 17055 Ruben Ln, Sandy, OR 97055-9276 |
Anong Y Moua | Family Practice | Portland Adventist Medical Center | 13021 Se River Rd, 3000 Adventist Health Medical Group Willamette View, Portland, OR 97222-8028 |
William C Chapin | Endocrinology | Portland Adventist Medical Center | 10101 Se Main St, Suite 1001, Portland, OR 97216-2456 |
Larry L Moffett | Family Medicine | Portland Adventist Medical Center | 11211 Se Sunnyside Rd, Clackamas, OR 97015-7787 |
Emily C Bier | Family Medicine | Portland Adventist Medical Center | 1700 Sw 257th Ave, Troutdale, OR 97060-1900 |
Street Address |
19220 MCLOUGHLIN BLVD |
City | GLADSTONE |
State | OR |
Zip | 97027-2642 |
Name | Specialty | Organization | Address |
---|---|---|---|
Margaret Mahlik | Clinical Social Worker | Portland Adventist Medical Center | 19220 Mcloughlin Blvd, Gladstone, OR 97027-2642 |
Su Lin Josephine Ritchie | Nurse Practitioner | Portland Adventist Medical Center | 19220 Mcloughlin Blvd, Gladstone, OR 97027-2642 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lindsay A Marshall | Nurse Practitioner | Western Psychological and Counseling Services PC | 880 82nd Dr, Gladstone, OR 97027-1803 |
Diana M Grum | Clinical Social Worker | Western Psychological and Counseling PC | 880 Se 82nd Dr, Gladstone, OR 97027-1803 |
Alex R Bloom | Psychologist, Clinical | Western Psychological and Counseling Services PC | 890 Se, 82nd, Gladstone, OR 97027-1803 |
Ariane Maluina Soll | Psychologist, Clinical | Western Psychological and Counseling Services PC | 880 82nd Dr, Gladstone, OR 97027-1803 |
Leland S St Charles | Psychologist, Clinical | Western Psychological and Counseling Services PC | 890 Se, 82nd, Gladstone, OR 97027-1803 |
Arlen Scott Craig | Psychologist, Clinical | Western Psychological and Counseling Services PC | 890 Se, 82nd, Gladstone, OR 97027-1803 |
Heather R Whitney | Clinical Social Worker | Western Psychological and Counseling Services PC | 880 82nd Dr, Gladstone, OR 97027-1803 |
Aaron T Overman | Psychologist, Clinical | Western Psychological and Counseling Services PC | 890 Se, 82nd, Gladstone, OR 97027-1803 |
Chloe E Lee-zorn | Clinical Psychologist | Western Psychological and Counseling Services PC | 880 82nd Dr, Gladstone, OR 97027-1803 |
Landon T Berger | Clinical Psychologist | Western Psychological and Counseling Services PC | 880 82nd Dr, Gladstone, OR 97027-1803 |
Find all physicians in zip 97027 |
City | GLADSTONE |
Zip Code | 97027 |
Specialty | FAMILY MEDICINE |
City + Specialty | GLADSTONE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Derek Nathan Anderson.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.