Anderson, Corey Darryl
Anderson, Corey Darryl is an individual health care provider with primary practice located at 2801 N Gantenbein Ave Suite 2225, Portland OR 97227-1623. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Anderson, Corey Darryl can be contacted via phone (503) 413-4505.Contact Information
Primary practice address
2801 N Gantenbein Ave Suite 2225
Portland OR 97227-1623
Phone: (503) 413-4505
Fax: (503) 413-3063
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 2325 | Oregon |
Profile Details
| NPI number | 1114278819 |
|---|---|
| LBN Legal business name | Anderson, Corey Darryl |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2012 |
| Last updated | Mar 22nd, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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