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Individual

ISIS ANDINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CHW

Contact information

Practice address
535 NE 6TH AVE, ESTACADA, OR 97023-9312
(503) 630-8550
(503) 630-8551
Mailing address
PO BOX 546, GRESHAM, OR 97030-0132
(541) 782-8242

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
03/12/2021
Last updated
10/01/2021
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