Individual
ADRIA WITHROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 BLANKENSHIP RD STE 448, WEST LINN, OR 97068-4191
(971) 378-0367
Mailing address
2006 NE DAVIS ST APT 207, PORTLAND, OR 97232-3085
(805) 272-5272
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/14/2022
Last updated
04/24/2023
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