Individual
ANTHONY ALEXANDER HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9735 SW SHADY LN STE 104, TIGARD, OR 97223-5481
(704) 860-7123
Mailing address
9735 SW SHADY LN STE 104, TIGARD, OR 97223-5481
(704) 860-7123
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
R8871
OR
Other
Enumeration date
10/11/2023
Last updated
06/04/2025
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