Individual
MS. ANDREA E MITTLEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1200 HILYARD ST STE 230, EUGENE, OR 97401-8122
(458) 205-6011
(458) 205-6071
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1462
(360) 729-3104
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4955
OR
Other
Enumeration date
12/21/2006
Last updated
11/12/2018
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