- Practice location
- 14645 SW Farmington RD., Beaverton, OR 97007
- Phone
- 503-718-5355
- Fax
- 971-206-5203
- Last updated
- February 13, 2012
Mark Alan Anderson is a Physical Therapy Assistant based in Beaverton, OR. Mark Alan Anderson practices in Beaverton, OR and has the professional credentials of PTA. The NPI Number for Mark Alan Anderson is 1548533193 and holds a License No. 08703 (OR). The current practice location address for Mark Alan Anderson is 14645 SW Farmington RD., Beaverton, OR 97007 and can be reached out via phone at 503-718-5355 and via fax at 971-206-5203.
Provider Profile Details
- NPI Number
- 1548533193
- Provider Name
- Mark Alan Anderson
- Credential
- PTA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 14645 SW Farmington RD., Beaverton, OR 97007
- Phone Number
- 503-718-5355
- Fax Number
- 971-206-5203
- Primary Taxonomy
- Physical Therapy Assistant · 225200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 13, 2012
- Last Update Date
- February 13, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 14645 SW Farmington RD.
Beaverton, OR 97007 - City
- Beaverton
- State
- Oregon
- Zip
- 97007
- Phone Number
- 503-718-5355
- Fax Number
- 971-206-5203
Provider Business Mailing Address Details
- Address
- 4560 SE International Way
Ste. 100
Milwaukie, OR 97222 - City
- Milwaukie
- State
- OR
- Zip
- 97222
- Phone Number
- 971-206-5200
- Fax Number
- 971-206-5203
License Information
- License Number
- 08703
- License State
- OR
- Taxonomy
- Physical Therapy Assistant · 225200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mark A Anderson, PTA?
The NPI number of Mark A Anderson, PTA is 1548533193. It was assigned on February 13, 2012 and is currently active in the NPPES registry.
What is the specialty of Mark A Anderson, PTA?
Mark A Anderson, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in OR under license number 08703.
Where does Mark A Anderson, PTA practice?
The practice location is 14645 SW Farmington RD., Beaverton, OR 97007. The office can be reached at 503-718-5355 (phone) or 971-206-5203 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548533193 directly on the NPPES registry website.