Doctor profile · Federal record
Dr. LISA ANDERSON, DMD
Dentist · General Practice Dentistry · PORTLAND, OR
- NPI 1801349980
- 10 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
12750 SE STARK ST BLDG E
PORTLAND, OR 972331539
(971) 347-3009
fax (971) 256-3277 - Mailing address
-
1776 SW MADISON ST
PORTLAND, OR 972051715
Credentials & registration
- NPI registered
- July 2016 — 10 yrs on file
- Profile last updated
- September 12, 2024
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Oregon #D10511
- Medicaid (2)
- OR #500718237 · WA #2162830
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1801349980. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$205
Transactions
4
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ZIMVIE INC. | 3 | $189.25 | |
| Dentsply Sirona Inc | 1 | $15.47 |