Individual
ANDREW J RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
9135 SW BARNES RD STE 561, PORTLAND, OR 97225-6643
(503) 216-2339
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LH60955164
WA
103T00000X
Psychologist
PY61013442
WA
103TC0700X
Clinical Psychologist
Primary
3479
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2138642
—
WA
Enumeration date
08/07/2019
Last updated
04/25/2023
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