MEDICARE: MELISSA CURRIE ANDERSON M.F.T., PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFC44786	CA

General Provider Information

NPI Number	:	1043450612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA CURRIE ANDERSON M.F.T., PH.D.

Provider Business Mailing Address
First Line	:	PO BOX 6776
Second Line	:
City	:	BEAVERTON
State	:	OR
Zip	:	97007-0776
Country	:	US
Telephone Number	:	510-459-9669
Fax Number	:

Provider Business Practice Location Address
First Line	:	3030 ASHBY AVE STE 119
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94705-2439
Country	:	US
Telephone Number	:	510-459-9669
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2009
Last Update Date	:	02/12/2026

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