JEFFREY L ANDERSON


Address: 11211 Se 82nd Ave Ste O, Happy Valley, OR 97086-7624
Phone: 5037226200

JEFFREY L ANDERSON (NPI# 1144385246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144385246
Entity Type Individual
Full Name JEFFREY L ANDERSON
Credential PSY.D
Practice Address 11211 Se 82nd Ave Ste O
Happy Valley
OR 97086-7624
Mailing Address 2051 Kaen Rd Ste 367
Oregon City
OR 97045-4035
Practice Telephone 5037226200
Practice Fax Number 5037226545
Mailing Telephone 5037425300
Mailing Fax Number 5037425979
Enumeration Date 2006-12-27
Last Update Date 2014-01-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 1933 OR Behavioral Health & Social Service Providers

Other Providers JEFFREY ANDERSON

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1326524596 Jeffrey Anderson Dentist 2304 E Bidwell St # 100, Folsom, CA 95630-3455 2018-07-11
1295238830 Jeffrey Todd Anderson Occupational Therapist 100 Woodbrook Dr, Charlottesville, VA 22901-1147 2018-03-09
1902263700 Jeffrey Anderson Durable Medical Equipment & Medical Supplies 420 S 100 E, Farmington, UT 84025-2276 2016-01-25
1891151015 Jeffrey Anderson Counselor 555 S Palm Canyon Dr Ste A202, Palm Springs, CA 92264-7210 2016-01-04
1801294558 Jeffrey Paul Anderson Registered Nurse 1992 S Gregg Rd, Akron, OH 44319-1306 2014-12-11
1013336890 Jeffrey Anderson Student in an Organized Health Care Education/Training Program 1959 Ne Pacific Street, Box 356410, University of Washington, Department of Surgery, Seattle, WA 98195 2014-04-09
1700223708 Jeffrey Davis Anderson Dentist 5754 Antioch Rd, Merriam, KS 66202-2015 2013-05-30
1659608578 Jeffrey G. Anderson Spec/Tech, Pathology Psc 461, Medical Unit, Fpo, AP 96521-0050 2009-11-13
1326371212 Jeffrey Alan Anderson Physician Assistant 410 Sheridan Ave - 529th Rsc, Attn: Regimental Aid Station, Fort Myer, VA 22211 2009-09-10
1306094420 Jeffrey Scott Anderson Counselor 226 Linda Ave., Hawthorne, NY 10532 2008-09-03

Office Location

Street Address 11211 SE 82ND AVE STE O
City HAPPY VALLEY
State OR
Zip Code 97086-7624

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447803689 Amy Strawser Case Manager/Care Coordinator 11211 Se 82nd Ave Ste O, Happy Valley, OR 97086-7641 2019-07-17
1568942837 Britney Paddy Counselor 11211 Se 82nd Ave Ste O, Happy Valley, OR 97086-7641 2018-08-16
1386151041 Mark William Fields Counselor 11211 Se 82nd Ave Ste O, Happy Valley, OR 97086-7641 2018-01-03
1588175186 Kelly Hirstein Case Manager/Care Coordinator 11211 Se 82nd Ave Ste O, Happy Valley, OR 97086-7641 2017-10-23
1235660077 Rachel Kropf Counselor 11211 Se 82nd Ave Ste O, Happy Valley, OR 97086-7641 2017-03-23
1134503253 Tina Sellers Social Worker 11211 Se 82nd Ave Ste O, Happy Valley, OR 97086-7641 2015-07-18
1922414234 Rebecca Ward Counselor 11211 Se 82nd Ave Ste O, Happy Valley, OR 97086-7641 2014-07-08
1457764771 Natalie Davis Counselor 11211 Se 82nd Ave Ste O, Centerstone, Happy Valley, OR 97086-7624 2014-06-04
1861804536 Alexander Murray Counselor 11211 Se 82nd Ave Ste O, Happy Valley, OR 97086-7641 2014-05-28
1780022061 Lacy Benoit Counselor 11211 Se 82nd Ave Ste O, Happy Valley, OR 97086-7624 2013-06-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063803674 Brandy Lynn Sajovic Case Manager/Care Coordinator 10822 Se 82nd Ave., Suite K, Happy Valley, OR 97086 2015-02-18
1851795561 Tyler Lundquist Chiropractor 16144 Se Happy Valley Town Center Dr #214, Happy Valley, OR 97086 2014-10-09
1184040644 Rui O'reilly Massage Therapist 10911 Se Alyssa Dr, Happy Valley, OR 97086 2014-03-07
1083036990 Laura Dillard Registered Nurse 10822 Se 82nd Ave, Happy Valley, OR 97086 2014-01-11
1699027672 Clackamas Town Dental, LLC Dentist 9225 Se Sunnyside Road, Clackamas, OR 97086 2012-10-15
1750639233 Northland Hearing Centers, Inc. Hearing Instrument Specialist 11800 Se 82nd Avenue, Happy Valley, OR 97086 2012-08-15
1962641654 Mt Scott Vision and Ocular Imaging Center PC Optometrist 9300 Ne 91st Ave, Suite 100, Happy Valley, OR 97086 2009-02-19
1598916546 Cynthia Sue Weaver Nurse Practitioner 9300 Se 91 Ave., Suite 400, Portland, OR 97086 2008-10-08
1396928776 Cary Ann Fardal Dietitian, Registered 13444 Se Piper Dr, Happy Valley, OR 97086 2007-12-09
1689873242 New Seasons Market - Happy Valley Pharmacy 15861 Se Happy Valley Town Center Dr., Happy Valley, OR 97086 2007-07-13
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639490022 Earl Dean Wilson Psychologist 8305 Se Monterey Ave, 220, Happy Valley, OR 97086-7725 2010-06-20
1265471833 Wendi Hirsch Major Psychologist 9300 Se 91st Ave Ste 200, Happy Valley, OR 97086 2006-06-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508466574 Jessica Michelle Simonetti Psychologist Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 2020-10-29
1407453889 Larissa Catherine Miller Psychologist 2920 Alder St, Eugene, OR 97405-4146 2020-10-08
1356958672 Lighthouse Psychological Services, LLC Psychologist 630 Sw Nevada St, Ste. E, Poralnd, OR 97219 2020-09-30
1619583408 Kyleemillerphd Psychologist 586 Welcome Way Se, Salem, OR 97302-3932 2020-09-17
1740890771 Marion David Psychologist 8228 Sw 171st Place, First Floor, Beaverton, OR 97007-6787 2020-08-04
1679182364 Psychological Services of Pendleton, LLC Psychologist 1100 Southgate Ste 13, Pendleton, OR 97801-3973 2020-07-28
1497373021 Jennifer Schmidt Psychologist 995 Stonewater Dr., Eagle Point, OR 97524 2020-07-09
1063039592 Cyti Psychology LLC Psychologist 12205 Sw Tualatin Rd Ste 270, Tualatin, OR 97062-7623 2020-06-30
1811518434 Nathaniel Israel Psychologist 7419 Se Woodstock Blvd, Portland, OR 97206-5838 2020-05-05
1477198315 Emi Sumida Brown Psychologist 993 Nw Circle Blvd Ste A, Corvallis, OR 97330-1408 2019-11-14
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Competitor

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City HAPPY VALLEY
Zip Code 97086

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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