# ANDREA MIZE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124553797
- **Authorized official:** ANDREA L MIZE L.C.S.W. (OWNER)
- **Authorized official phone:** (503) 957-5947

## Contact information

- **Practice address:** 10175 SW BARBUR BLVD STE 300BG, PORTLAND, OR 97219-5909
- **Practice address phone:** (503) 957-5947
- **Practice address fax:** (503) 206-0926
- **Mailing address:** 3 MONROE PKWY, STE P 242, LAKE OSWEGO, OR 97035-1486
- **Mailing address phone:** (503) 957-5947

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 7328 | OR | Yes |

## Other

- **Enumeration date:** 04/20/2017
- **Last updated:** 01/02/2019