Individual
ANDREA CHRISTINE PERTOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 517-4228
Mailing address
505 NE 87TH AVE STE 301, VANCOUVER, WA 98664-1965
(360) 514-1854
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60513416
WA
Other
Enumeration date
11/25/2014
Last updated
01/10/2022
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