Individual
MISS ANDREA MARIE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(800) 813-2000
(855) 524-5255
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
402031
OR
225X00000X
Occupational Therapist
Primary
402031
OR
Other
Enumeration date
01/22/2014
Last updated
07/15/2025
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