Individual
DR. ANN MARIE MINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
516 SE MORRISON ST STE 1010, PORTLAND, OR 97214-2340
(503) 610-3436
Mailing address
975 SE SANDY BLVD STE 160, PORTLAND, OR 97214-2498
(503) 351-9432
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801177902
NPI
—
Enumeration date
08/10/2010
Last updated
05/26/2021
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