Individual
ANDREA EARNEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25117 SW PARKWAY AVE, SUITE D, WILSONVILLE, OR 97070-9697
(253) 475-2507
Mailing address
PO BOX 520, OLALLA, WA 98359-0520
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC 60706163
WA
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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