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

John C. Anderson, MD

Individual provider Orthopaedic Surgery Physician · NPI 1790706430

John C. Anderson, MD is an Orthopedic Surgery in Portland, Oregon. Graduated from Loma Linda University School of Medicine in 2000, 26 years ago. Practices with Acute Care Surgery of South Dakota PC, a 68-clinician group and accepts Medicare assignment. Licensed in California, Oregon, Pennsylvania and South Dakota and 1 more.

Years since qualifying
26
Trained at
Loma Linda University School of Medicine
Licensed in
CA, OR, PA, SD, TX
In the registry since
2006
Specialties on file
6
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

10101 SE Main St Ste 3008
Portland, OR 97216-2455
Phone: (503) 489-1122
Fax: (503) 489-1123
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 10506 (SD)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence C143100 (CA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence S0422 (TX)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence MD450150 (PA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence MD26880 (OR)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence MD26880 (OR)

Record details

NPI number1790706430
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 21, 2006
Last updated in NPPESSeptember 24, 2020
Certification dateSeptember 24, 2020
Mailing address5006 University Drive, #3, Collegedale, TN 37315-5001

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Acute Care Surgery Of South Dakota Pc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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