Individual
ANDREA L CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1790 W 11TH AVE STE 200, EUGENE, OR 97402-3871
(541) 686-2688
(541) 345-7605
Mailing address
5550 E ST, SPRINGFIELD, OR 97478-6951
(316) 312-2854
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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