NPI 1407002850 · live from the CMS NPI Registry
Miriam Joy Anderson, Ph.D.
Psychologist, Clinical in Portland, OR. National Provider Identifier 1407002850, active.
NPI record
| NPI | 1407002850 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 516 Se Morrison St Ste 1110, Portland, OR 97214 |
| Practice phone | 503-222-0707 |
| Enumerated | August 15, 2008 |
| Last updated | October 15, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 2286 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.