Individual
MRS. ANDREA THEA SHEEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1312 SW WASHINGTON ST, DE PAUL TREATMENT CENTERS, PORTLAND, OR 97205
(503) 535-1151
Mailing address
DE PAUL TREATMENT CENTERS, P.O. BOX 3007, PORTLAND, OR 97208
(503) 535-1151
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200241871RN
OR
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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