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 |
By nature of payment
Frequently asked questions
What is Dr. Lisa Anderson's medical specialty?
Dr. Lisa Anderson practices Dentist in Portland, OR.
Where does Dr. Lisa Anderson practice?
Dr. Lisa Anderson practices at 12750 Se Stark St Bldg E, Portland, OR 972331539. Office phone: 9713473009.
What is Dr. Lisa Anderson's NPI?
Dr. Lisa Anderson's National Provider Identifier (NPI) is 1801349980, issued by NPPES.