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Individual

DOROTHY JEAN ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
2264 MCGILCHRIST ST SE, SUITE 100, SALEM, OR 97302-1187
(503) 391-5666
(503) 371-3839
Mailing address
1950 POPCORN ST NW, SALEM, OR 97304-2814
(503) 391-5666
(503) 371-3839

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0639
OR
103TC0700X
Clinical Psychologist
0639
OR

Other

Enumeration date
06/09/2006
Last updated
09/07/2016
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