Active NPIIndividual providerSole proprietor

Timothy W Anderson, CRM, THW

Counselor, Addiction (Substance Use Disorder) in Salem, Oregon

NPI Number1629780572
Practice location
1011 Commercial St NE, Salem, OR 97301-1049
Fax
—
Last updated
December 21, 2022

Timothy W Anderson, CRM, THW is a Counselor, Addiction (Substance Use Disorder) based in Salem, OR. Timothy W Anderson, CRM, THW holds the professional credentials of CRM, THW. The NPI number for Timothy W Anderson, CRM, THW is 1629780572. The current practice location address is 1011 Commercial St NE, Salem, OR 97301-1049 and the office can be reached by phone at 503-983-9900. The NPI was assigned on December 21, 2022 and the record was last updated in NPPES on December 21, 2022.

●Provider Profile Details

NPI Number
1629780572
Provider Name
Timothy Wayne Anderson
Credential
CRM, THW
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Enumeration Date
December 21, 2022
Last Update Date
December 21, 2022
Certification Date
December 21, 2022
NPI Status
Active

◉Business Practice Location Address

Address
1011 Commercial St NE
Salem, OR 97301-1049
City
Salem
State
Oregon
ZIP
97301-1049
Country
US
Phone Number
503-983-9900

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✉Business Mailing Address

Address
9600 Hebo RD
Grand Ronde, OR 97347-9704
City
Grand Ronde
State
OR
ZIP
97347-9704
Phone Number
971-387-6846

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Counselor, Addiction (Substance Use Disorder)101YA0400XYes——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Timothy W Anderson, CRM, THW?

The NPI number of Timothy W Anderson, CRM, THW is 1629780572. It was assigned on December 21, 2022 and is currently active in the NPPES registry.

What is the specialty of Timothy W Anderson, CRM, THW?

Timothy W Anderson, CRM, THW is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X).

Where does Timothy W Anderson, CRM, THW practice?

The practice location is 1011 Commercial St NE, Salem, OR 97301-1049. The office can be reached at 503-983-9900 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629780572 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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