Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Corey Darryl Anderson, PSYD

Individual provider Clinical Neuropsychologist · NPI 1114278819

Dr. Corey Darryl Anderson, PSYD is a Clinical Neuropsychologist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2012.

Licensed in
OR
In the registry since
2012
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

2801 N Gantenbein Ave Ste 2225
Portland, OR 97227-1623
Phone: (503) 413-4505
Fax: (503) 413-3063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 2325 (OR)

Record details

NPI number1114278819
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedSeptember 21, 2012
Last updated in NPPESMarch 22, 2017

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