Individual
ANDREA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
244 NW KINGWOOD AVE, REDMOND, OR 97756-1812
(541) 322-7500
(541) 322-7565
Mailing address
2577 NE COURTNEY DR, BEND, OR 97701-7752
(541) 322-7500
(541) 322-7565
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
IL
171M00000X
Case Manager/Care Coordinator
Primary
—
OR
Other
Enumeration date
10/30/2019
Last updated
10/22/2025
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