Individual
AVERY D'ALESSANDRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1507 NE 122ND AVE, PORTLAND, OR 97230-1911
(503) 258-4555
Mailing address
11035 NE SANDY BLVD, PORTLAND, OR 97220-2553
(503) 258-4200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
09/12/2019
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