PHILIP DEAN ANDERSON

PORTLAND, OR
NPI1205911138
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  96-04-02)
Enumeration Date2006-10-26
Last Update Date2007-07-12
Business Address
Mr. PHILIP DEAN ANDERSON MS09/10/1952
3325 N INTERSTATE AVE
PORTLAND, OR 97227-1020
Phone number: 503-285-9321
Mailing Address
Mr. PHILIP DEAN ANDERSON MS09/10/1952
3325 N INTERSTATE AVE
PORTLAND, OR 97227-1020
Phone number: 503-285-9321
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