Individual
DR. COREY DARRYL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2801 N GANTENBEIN AVE, SUITE 2225, PORTLAND, OR 97227-1623
(503) 413-4505
(503) 413-3063
Mailing address
2801 N GANTENBEIN AVE, SUITE 2225, PORTLAND, OR 97227-1623
(503) 413-4505
(503) 413-3063
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2325
OR
Other
Enumeration date
09/21/2012
Last updated
03/22/2017
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