NPI 1114278819

Corey Darryl Anderson, PSYD

Practitioner Clinical Neuropsychologist Portland, OR

Practice location

Address: 2801 N Gantenbein Ave Suite 2225, Portland, OR 97227-1623
Phone: (503) 413-4505
Fax: (503) 413-3063

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 2325 (OR)

Other Clinical Neuropsychologist providers in Oregon →

Registry record

NPI: 1114278819
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Sep 2012
Record last updated: 22 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.