Individual
TIMOTHY WAYNE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRM, THW
Contact information
Practice address
1011 COMMERCIAL ST NE, SALEM, OR 97301-1049
(503) 983-9900
Mailing address
9600 HEBO RD, GRAND RONDE, OR 97347-9704
(971) 387-6846
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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