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

Dr. Jacob Anderson, MD

Individual provider Anesthesiology Physician · NPI 1639533557

Dr. Jacob Anderson, MD is an Anesthesiology in Portland, Oregon. Graduated from University of Nevada School of Medicine in 2016, 10 years ago. Practices with Columbia Anesthesia Group P S, a 71-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
10
Trained at
University of Nevada School of Medicine
Licensed in
WA
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-8211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 401 W Poplar St, Walla Walla, WA 99362-2846 — (509) 897-3320

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence MD61038497 (WA)

Record details

NPI number1639533557
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2016
Last updated in NPPESApril 5, 2021
Certification dateApril 5, 2021
Mailing address505 Ne 87th Ave Ste 210, Vancouver, WA 98664-1988

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Columbia Anesthesia Group P S — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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