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Individual

DR. CARLOS O ANDARSIO JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
51 SW LEE ST, NEWPORT, OR 97365-3823
(541) 574-5960
Mailing address
2200 W BROAD ST, COLUMBUS, OH 43223-1297
(614) 752-0333

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
35.124364
OH
2084P0800X
Psychiatry Physician
MD00029463
WA
2084P0800X
Psychiatry Physician
Primary
MD218985
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500832426
OR
Enumeration date
08/17/2007
Last updated
02/24/2026
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