Active NPI
Vera Dujovne Anderson, PH.D.
- Clinical Psychologist
- Tigard, OR
National Provider Identifier
1801035803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1552
- Practice address
- 7505 SW Beveland Rd # 205
Tigard, OR 97223-8682 - Phone
- (034) 428-4085
- NPI assigned
- Feb 13, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1552 | OR | Primary |
Addresses
Primary practice location
7505 SW Beveland Rd # 205
Tigard, OR 97223-8682
Mailing address
7505 SW Beveland Rd # 205
Tigard, OR 97223-8682
Phone (503) 442-8408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1552 | OR | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1801035803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7505 SW BEVELAND RD # 205",
"city": "TIGARD",
"state": "OR",
"postal_code": "972238682",
"telephone_number": "503-442-8408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7505 SW BEVELAND RD # 205",
"city": "TIGARD",
"state": "OR",
"postal_code": "972238682",
"telephone_number": "034-428-4085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "VERA",
"middle_name": "DUJOVNE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-13",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "1552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.