Individual
ANDREW STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2600 CENTER ST NE, SALEM, OR 97301-2669
(503) 945-9734
(503) 945-9936
Mailing address
2600 CENTER ST NE, SALEM, OR 97301-2669
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP 172
OR
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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