Individual
ANDREA LEIGH MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5721 NE 138TH AVE, PORTLAND, OR 97230-3495
(503) 261-2090
(503) 261-2040
Mailing address
12006 SE BUSH ST, PORTLAND, OR 97266-2142
(561) 352-4040
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
200542374RN
OR
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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