Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alex Charles Anderson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1336607142

Alex Charles Anderson is a Family Practice in Lebanon, Oregon. Qualified in 2021, 5 years ago. Practices with Peacehealth Medical Group, a 254-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
5
Licensed in
OR
In the registry since
2019
Specialties on file
2

Practice location Address checks out

200 Mullins Dr
Lebanon, OR 97355-3983
Phone: (509) 939-9846
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4010 Aerial Way, Eugene, OR 97402-9757 — (541) 687-6353

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO226409 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1336607142
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 11, 2019
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025
Mailing address200 Mullins Dr, Lebanon, OR 97355-3983

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Peacehealth Medical Group — 254 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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