IndividualActive
Andy Andersen
NPI 1508303611 · Mental Health Counselor · Pendleton, OR
Provider details
- NPI number
- 1508303611
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Practice location
2575 Westgate Bldg 3
Pendleton, OR 97801-9613
Phone: (541) 276-6330
Fax: (541) 276-6295
Mailing address
3587 Heathrow Way
Medford, OR 97504-4004
Registry dates
- Enumerated
- 2017-01-26
- Last updated
- 2017-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.