Individual
WINSTON ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1500 NE IRVING ST, SUITE 250, PORTLAND, OR 97232-2243
(503) 258-4200
Mailing address
4207 NE 32ND AVE, PORTLAND, OR 97211-7149
(503) 206-6643
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1751
OR
Other
Enumeration date
12/13/2008
Last updated
12/13/2008
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