Individual
MR. ANDREW LEE SUMMERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2279 NW IRVING ST, PORTLAND, OR 97210-3222
(503) 218-3667
Mailing address
2279 NW IRVING ST, PORTLAND, OR 97210-3222
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3280
OR
Other
Enumeration date
04/14/2017
Last updated
05/05/2025
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