COREY DEAN ANDERSON

PORTLAND, OR
NPI1144598822
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy372600000X Adult Companion
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2011-12-08
Last Update Date2014-03-27
Business Address
-- COREY DEAN ANDERSON
5120 SE 118TH AVE
PORTLAND, OR 97266-3250
Phone number: 503-762-3431
Mailing Address
-- COREY DEAN ANDERSON
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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