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

NPPES Updated May 11, 2026
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

NPPES · NUCC
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

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1801349980. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
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

Food and Beverage
$205