Individual
MR. PHILIP DEAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS09/10/1952
Contact information
Practice address
3325 N INTERSTATE AVE, PORTLAND, OR 97227-1020
(503) 285-9321
Mailing address
3325 N INTERSTATE AVE, PORTLAND, OR 97227-1020
(503) 285-9321
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
96-04-02
OR
Other
Enumeration date
10/26/2006
Last updated
07/12/2007
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