DR. JORDAN RODERICK ANDERSON


Address: 1225 Ne 2nd Ave, Portland, OR 97232-2003
Phone: 4016062513

DR. JORDAN RODERICK ANDERSON (NPI# 1255770285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255770285
Entity Type Individual
Full Name DR. JORDAN RODERICK ANDERSON
Credential D.O.
Practice Address 1225 Ne 2nd Ave
Portland
OR 97232-2003
Mailing Address Po Box 4399
Portland
OR 97208-4399
Practice Telephone 4016062513
Practice Fax Number 5039448017
Mailing Telephone 5034133900
Mailing Fax Number 5034133710
Enumeration Date 2013-06-24
Last Update Date 2019-08-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
LP03060 RI Allopathic & Osteopathic Physicians
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
DO193506 OR Allopathic & Osteopathic Physicians

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1841823515 Jordan Marquis Anderson Counselor 694 Hwy #4 E, Holly Springs, MS 38635 2020-02-20
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1013344498 Jordan Anderson Dentist 5807 Nw 166th St, Ridgefield, WA 98642-8553 2013-10-01
1811261092 Jordan Allen Anderson Specialist/Technologist 7 Happ Road, New Trier Township High School, Northfield, IL 60093 2012-03-06
1083220446 Jordan Anderson Behavior Technician 800 S Broadway Ste 310, Walnut Creek, CA 94596-5218 2020-09-21
1952928624 Jordan Anderson Physical Therapist 2131 S Business Dr, Sheboygan, WI 53081-5656 2020-06-29
1770117210 Jordan Anderson Pharmacist 9527 S 27th St, Franklin, WI 53132-9533 2020-02-24
1568095230 Jordan Paige Anderson Registered Nurse 1959 Ne Pacific St, Seattle, WA 98195-0001 2020-02-20
1558928861 Jordan Lynn Anderson Case Manager/Care Coordinator 4919 Canal St Ste 203, New Orleans, LA 70119-5878 2019-05-22
1003386269 Jordan Anderson Occupational Therapist 1234 Napier Ave, Saint Joseph, MI 49085-2112 2018-11-30

Office Location

Street Address 1225 NE 2ND AVE
City PORTLAND
State OR
Zip Code 97232-2003

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497727903 Gregory Miller Psychiatry & Neurology 1225 Ne 2nd Ave, Portland, OR 97232-2003 2006-02-07
1104435809 Caleb Terence Hughes Counselor 1225 Ne 2nd Ave, Portland, OR 97232-2003 2020-07-28
1073078366 Jeremy Michael Good Registered Nurse 1225 Ne 2nd Ave, Portland, OR 97232-2003 2019-01-31
1053806653 James Clark Trott Registered Nurse 1225 Ne 2nd Ave, Portland, OR 97232-2003 2018-06-26
1912410630 Valerie Spear Nurse Practitioner 1225 Ne 2nd Ave, Portland, OR 97232-2003 2017-11-16
1376074427 Angella Michelle King Cole Registered Nurse 1225 Ne 2nd Ave, Portland, OR 97232 2017-03-21
1245773225 Legacy Emanuel Hospital & Health Center Psychiatric Unit 1225 Ne 2nd Ave, Portland, OR 97232-2003 2016-11-23
1003367491 Legacy Emanuel Hospital & Health Center General Acute Care Hospital 1225 Ne 2nd Ave, Portland, OR 97232 2016-10-20
1083078265 Corey Elizabeth Watson Nurse Practitioner 1225 Ne 2nd Ave, Portland, OR 97232 2016-04-13
1043692676 Rodney Stuart Olin Nurse Practitioner 1225 Ne 2nd Ave, Unity Center, Portland, OR 97232-2003 2015-06-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881293215 Oregon Change Clinic Clinic/Center 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 2020-10-17
1154969947 Lori Kristen Miracle Acupuncturist Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 2019-12-12
1194285411 Onampai Modina Soondarotok Student in an Organized Health Care Education/Training Program Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 2019-03-22
1003399635 Cathleen Nicole Wenberg Social Worker 1839 Ne Couch St, Portland, OR 97232 2018-09-10
1508350760 Float North Acupuncturist 1617 Ne 17th Ave., Portland, OR 97232 2018-06-20
1629560719 Rachael Lee Walters Doula 3005 Ne Hoyt St, Portland, OR 97232 2018-06-04
1225529431 Jason Sutherland Social Worker 707 Ne Couch, Portland, OR 97232 2018-05-23
1770089245 Richard Farwell Leman Family Medicine 800 Ne Oregon St., Suite 772, Portland, OR 97232 2018-04-03
1952803413 Aleksandra Giedowyn Md PC Family Medicine 1923 Ne Broadway Street Suite 2, Portland, OR 97232 2018-03-01
1639680374 Amanda Matteo Counselor 20 Ne 10th Ave, Portland, OR 97232 2017-10-20
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447878947 Celia Mantovani Psychiatry & Neurology 15 Cypress St, Portland, ME 04103-2008 2020-07-10
1538782834 Endeavor Psychiatry LLC Psychiatry & Neurology Sw, Portland, OR 97219-5885 2020-05-20
1154942142 Prisma Wellness LLC Psychiatry & Neurology 10260 Sw Greenburg Rd Fl 4, Portland, OR 97223-5500 2020-04-30
1588291082 Alexis Family Psychiatry, LLC Psychiatry & Neurology 415 Congress St Ste 202a, Portland, ME 04101-3500 2020-03-24
1881188084 Geriatric Psychiatry Associates Psychiatry & Neurology 123 Nw 12th Ave Apt 424, Portland, OR 97209-4145 2018-06-20
1982104063 Carl Chi Psychiatry & Neurology 22 Goodrich Ln, Portland, CT 06480-1063 2018-02-15
1154839108 Cascade Tms LLC Psychiatry & Neurology 205 Se Spokane St Ste 301, Portland, OR 97202-6487 2018-01-11
1538601737 Diana S Domnitei Md LLC Psychiatry & Neurology 1012 Sw King Ave Ste 306, Portland, OR 97205-1110 2016-11-06
1104286269 Anne Fleming, Md, LLC Psychiatry & Neurology 2340 Nw Thurman St Ste 202, Portland, OR 97210-2579 2016-03-02
1417338708 Andrew Justin Ruege Psychiatry & Neurology 5421 Sw Patton Rd, Portland, OR 97221-2226 2015-06-12
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Competitor

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City PORTLAND
Zip Code 97232

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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