Individual
ANDRE B PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., MSW
Contact information
Practice address
1220 SW MORRISON ST STE 730, PORTLAND, OR 97205-2226
(503) 860-1213
(503) 988-3676
Mailing address
6926 NE 22ND AVE, PORTLAND, OR 97211-5245
(503) 860-1213
(844) 889-4937
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3529
OR
Other
Enumeration date
01/17/2007
Last updated
06/20/2024
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