JASON L ANDERSEN, DO, Child & Adolescent Psychiatry OREM, UT

Contact Information

JASON L ANDERSEN, DO

1215 S 1680 W
OREM, UT 84058-4939

Phone: 385-277-0900
Fax: 801-465-3267
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Child & Adolescent Psychiatry	2084P0804X	86	Physician/Neuropsychiatry
Addiction Medicine	2083A0300X	84	Physician/Preventive Medicine

Indicates primary specialty

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NPI Profile & details for JASON L ANDERSEN · (Male)

NPI #	`1932293727`
Status	Active
Credentials	DO (Doctor of Osteopathic)
Entity	Individual
Enumeration date	10/03/2006
Last updated	12/26/2024 - More than a year ago
Sole proprietor ¹	No
Identifiers	ID License # O-0961 UT License # 6147456-1204
Hospital affiliation(s)	KOOTENAI MEDICAL CENTER - (Acute Care) 2003 KOOTENAI HEALTH WAY COEUR D'ALENE, ID 83814

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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JASON L ANDERSEN, DO – NPI #1932293727Child & Adolescent Psychiatry

Contact Information

Specialty

Child & Adolescent Psychiatry

Addiction Medicine

NPI Profile & details for JASON L ANDERSEN · (Male)

Reviews for JASON L ANDERSEN

JASON L ANDERSEN, DO – NPI #1932293727
Child & Adolescent Psychiatry