Individual
ANDREW SCHWAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5623 SE LEXINGTON ST, PORTLAND, OR 97206-9025
(607) 227-8119
Mailing address
117 PINE TREE RD, ITHACA, NY 14850-6331
(607) 227-8119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L16471
OR
Other
Enumeration date
08/08/2021
Last updated
05/21/2025
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