Thomas Jeffrey Anderson Ii, MD | |
15455 Nw Greenbrier Pkwy Ste 111, Beaverton, OR 97006-7357 | |
(503) 531-3434 | |
(503) 645-4544 |
Full Name | Thomas Jeffrey Anderson Ii |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 15455 Nw Greenbrier Pkwy Ste 111, Beaverton, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306047881 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD60094937 (Washington) | Secondary |
208000000X | Pediatrics | MD29062 (Oregon) | Primary |
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
Mailing Address | Practice Location Address |
---|---|
Thomas Jeffrey Anderson Ii, MD 15455 Nw Greenbrier Pkwy Ste 112, Beaverton, OR 97006-8115 Ph: (503) 466-1668 | Thomas Jeffrey Anderson Ii, MD 15455 Nw Greenbrier Pkwy Ste 111, Beaverton, OR 97006-7357 Ph: (503) 531-3434 |
Douglas Joseph Hamill, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4855 Sw Western Ave, Beaverton Medical Office, Beaverton, OR 97005 Phone: 503-643-7565 | |
Dr. Luanne Nilsen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4855 Sw Western Ave, Beaverton, OR 97005 Phone: 503-643-7565 | |
Dean A Moshofsky, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15455 Nw Greenbrier Pkwy, Ste 111, Beaverton, OR 97006 Phone: 503-534-3434 Fax: 503-645-4544 | |
Heather M Moore, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15455 Nw Greenbrier Pkwy, Ste 111, Beaverton, OR 97006 Phone: 503-531-3434 Fax: 503-645-4544 | |
Cole Julius Nygard, Pediatrics Medicare: Medicare Enrolled Practice Location: 15455 Nw Greenbrier Pkwy Ste 111, Beaverton, OR 97006 Phone: 503-531-3434 | |
Mary Ellen Ulmer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15950 Sw Millikan Way, Beaverton, OR 97006 Phone: 503-646-0161 Fax: 503-643-7459 |