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Individual

JEFFREY L ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D

Contact information

Practice address
11211 SE 82ND AVE STE O, HAPPY VALLEY, OR 97086-7624
(503) 722-6200
(503) 722-6545
Mailing address
2051 KAEN RD STE 367, OREGON CITY, OR 97045-4035
(503) 742-5300
(503) 742-5979

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1933
OR

Other

Enumeration date
12/27/2006
Last updated
01/13/2014
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