Individual
DR. D CAROL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(503) 224-1044
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/04/2010
Last updated
08/25/2015
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