Individual
MR. JARREN JAMES TROY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21440 SE STARK ST, GRESHAM, OR 97030-2024
(971) 703-4623
(971) 252-1955
Mailing address
11010 SE DIVISION ST STE 300, PORTLAND, OR 97266-6401
(971) 442-0044
(971) 252-1955
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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