Individual
ELLEN L ANDRAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1003 PROVIDENCE DR, SUITE 110, NEWBERG, OR 97132-7521
(503) 537-5620
(971) 282-0099
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD151662
OR
Other
Enumeration date
07/27/2007
Last updated
04/28/2025
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