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

Lisa Y Anderson, DMD

Individual provider General Practice Dentistry · NPI 1801349980

Lisa Y Anderson, DMD is a General Practice Dentistry in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2016.

Licensed in
OR
In the registry since
2016
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

12750 SE Stark St Bldg E
Portland, OR 97233-1539
Phone: (971) 347-3009
Fax: (971) 256-3277
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D10511 (OR)
General Practice Dentistry Taxonomy 1223G0001X · Licence D10511 (OR)

Record details

NPI number1801349980
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 26, 2016
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024

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