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Individual

ANDREW RENE CORONADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
275 S 2ND ST, SAINT HELENS, OR 97051-2007
(817) 584-0994
Mailing address
275 S 2ND ST, SAINT HELENS, OR 97051-2007

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
202206126LPN
OR
343900000X
Non-emergency Medical Transport (VAN)
Primary
26138993
TX

Other

Enumeration date
11/20/2025
Last updated
04/22/2026
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