DR. JAY CHRISTOPHER ANDERSEN (NPI# 1922001023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922001023 |
| Entity Type | Individual |
| Full Name | DR. JAY CHRISTOPHER ANDERSEN |
| Credential | M.D. |
| Practice Address |
9555 Sw Barnes Rd Ste 150 Portland OR 97225-6663 |
| Practice Telephone | 5032977403 |
| Practice Fax Number | 5033849908 |
| Mailing Telephone | 5032977403 |
| Mailing Fax Number | 5033849908 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2011-12-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD25119 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 022597 | 05 | |
| WA | 1022183 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396751210 | Jay P Andersen | Occupational Therapist | 380 E 1500 S, Heber City, UT 84032-3940 | 2006-07-31 |
| Street Address |
9555 SW BARNES RD STE 150 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-6663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285025619 | Rebecca Clark | Genetic Counselor, MS | 9555 Sw Barnes Rd, Suite 150, Portland, OR 97225-6663 | 2015-02-06 |
| 1437551199 | Saffron's Specialized Medical, Inc | Durable Medical Equipment & Medical Supplies | 9555 Sw Barnes Rd, Suite 215, Portland, OR 97225-6663 | 2014-09-24 |
| 1710398623 | Saffron Gustafson | Specialist | 9555 Sw Barnes Rd, Suite 215, Portland, OR 97225-6663 | 2014-05-13 |
| 1336577386 | Erin Cope | Social Worker | 9555 Sw Barnes Rd, Suite 100, Portland, OR 97225-6663 | 2013-10-29 |
| 1104252097 | Sarah Elizabeth Bodian | Advanced Practice Midwife | 9555 Sw Barnes Rd, Suite 100, Portland, OR 97225-6663 | 2013-09-24 |
| 1679821672 | Sandra Sue Karp | Nurse Practitioner | 9555 Sw Barnes Rd, Suite 100, Portland, OR 97225-6663 | 2012-08-22 |
| 1396009254 | Molly F Weeber | Registered Nurse | 9555 Sw Barnes Rd, Suite 100, Portland, OR 97225-6663 | 2012-06-26 |
| 1851667323 | Michelle Lynnette Monnie | Obstetrics & Gynecology | 9555 Sw Barnes Rd, Suite 100, Portland, OR 97225-6663 | 2012-03-28 |
| 1053688036 | Sunset Surgical Centre LLC | Clinic/Center | 9555 Sw Barnes Rd, Suite 275, Portland, OR 97225-6663 | 2011-11-19 |
| 1164719324 | Julianna Bridget Lucisano | Social Worker | 9555 Sw Barnes Rd, Suite 100, Portland, OR 97225-6663 | 2011-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366860553 | Daniel Guy | Internal Medicine | 4805 Ne Glisan St Ste 11n-1, Portland, OR 97213-2933 | 2014-04-03 |
| 1033464318 | William Galen | Internal Medicine | 1221 Sw 10th Ave, 1804, Portland, OR 97205-2426 | 2012-07-23 |
| 1730348632 | Sasha Elizabeth Stanton | Internal Medicine | 4805 Ne Glisan St # 2n103, Portland, OR 97213-2933 | 2008-06-05 |
| 1801010004 | Providence Health & Services Oregon | Internal Medicine | 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933 | 2007-04-12 |
| 1649392135 | Rosemarie Mannino | Internal Medicine | 3710 Sw Us Veteran Hospital Rd, Portland, OR 97239 | 2007-04-04 |
| 1649312398 | Ivan P Law Md PC | Internal Medicine | 2707 Ne 33rd Ave, Portland, OR 97212-3649 | 2007-02-12 |
| 1700960671 | Gina Vaccaro | Internal Medicine | 9135 Sw Barnes Rd Ste 261, Portland, OR 97225-6784 | 2006-10-25 |
| 1528073012 | Brian Jay Druker | Internal Medicine | 3181 Sw Sam Jackson Park Rd, L952, Portland, OR 97239 | 2006-07-31 |
| 1265475198 | Maria Gia Gregorio | Internal Medicine | 10859 Nw Supreme Ct, Portland, OR 97229-8816 | 2006-06-14 |
| 1124021753 | Stacy K Lewis | Internal Medicine | 9135 Sw Barnes Rd, Ste 261, Portland, OR 97225-6601 | 2005-05-27 |
| Find all providers in PORTLAND | ||||
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| 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.