Individual provider · Type 1 NPI

Philip Dean Anderson, MS//1952

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1205911138 Active

Practice location

3325 N Interstate Ave
Portland, OR 97227-1020

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X96-04-02 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1205911138

Philip Dean Anderson, MS//1952's National Provider Identifier is 1205911138, issued on Oct 26, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Sep 29, 2026.