Individual
MRS. ANDREA BETH-CALHOUN RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1235 SE DIVISION ST, PORTLAND, OR 97202-1099
(360) 726-4141
Mailing address
1235 SE DIVISION ST, PORTLAND, OR 97202-1099
(360) 726-4141
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MHCA.MC.70000547
WA
101YM0800X
Mental Health Counselor
Primary
R11094
OR
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
12/19/2023
Last updated
08/12/2025
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