Individual
DR. MIRIAM JOY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
516 SE MORRISON ST STE 1110, PORTLAND, OR 97214-2390
(503) 222-0707
Mailing address
516 SE MORRISON ST STE 1110, PORTLAND, OR 97214-2390
(503) 222-0707
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2286
OR
Other
Enumeration date
08/15/2008
Last updated
10/15/2013
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