Dr. Corey Darryl Anderson, Psy.D.
Clinical Neuropsychologist in Portland, OR. Individual provider (NPI-1).
NPI number1114278819
StatusActive
Last updated in NPPESMar 22, 2017
Details
- NPI
- 1114278819
- Entity type
- Individual (NPI-1)
- Name
- Dr. Corey Darryl Anderson
- Credential
- Psy.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2012
- Last updated
- Mar 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 2325 | OR | Yes |
Practice location
2801 N Gantenbein AveSuite 2225
Portland, OR 97227-1623
Phone 503-413-4505 · Fax 503-413-3063
Mailing address
2801 N Gantenbein AveSuite 2225
Portland, OR 97227-1623
Phone 503-413-4505 · Fax 503-413-3063
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