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Corey Dean Anderson
Mental Health Counselor in Portland, Oregon
NPI 1144598822

Corey Dean Anderson is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Corey Dean Anderson practices in Portland, OR. The NPI Number for Corey Dean Anderson is 1144598822 and holds a License No. (Oregon).

The current practice location address for Corey Dean Anderson is 5120 Se 118Th Ave, Portland, OR and can be reached out via phone at 503-762-3431.

Location: 5120 Se 118Th Ave, Portland, OR, 97207-8459
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Provider Profile Details
NPI Number
1144598822
Provider Name
Corey Dean Anderson
Credential
Provider Entity Type
Individual
Gender
Male
Address
5120 Se 118Th Ave, Portland, OR, 97207-8459
Phone Number
503-762-3431
Fax Number
Provider Enumeration Date
12/08/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
171M00000X 05 OR
institution
Provider Business Practice Location Address Details
Address
5120 Se 118Th Ave
City
State
Zip
97266-3250
Phone Number
503-762-3431
Fax Number
person
Provider Business Mailing Address Details
Address
5120 Se 118Th Ave
City
State
Zip
97266-3250
Phone Number
503-762-3431
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
License No.
()
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
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