NPI 1144385246 · live from the CMS NPI Registry
Jeffrey L Anderson, PSY.D
Psychologist in Happy Valley, OR. National Provider Identifier 1144385246, active.
NPI record
| NPI | 1144385246 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 11211 Se 82nd Ave Ste O, Happy Valley, OR 97086 |
| Practice phone | 503-722-6200 |
| Mailing address | 2051 Kaen Rd Ste 367, Oregon City, OR 97045 |
| Enumerated | December 27, 2006 |
| Last updated | January 13, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | 1933 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.