Provider Demographics
NPI:1740404193
Name:LINDER, ANNA CHRISTINE (PSYD)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:CHRISTINE
Last Name:LINDER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:PORTLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:1505 WATER ST NE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97303-6967
Mailing Address - Country:US
Mailing Address - Phone:503-910-0717
Mailing Address - Fax:
Practice Address - Street 1:1505 WATER ST NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97303-6967
Practice Address - Country:US
Practice Address - Phone:503-910-0717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1235103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist