Individual
MS. ANDREA RICHMOND BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2415 SE 43RD AVE, PORTLAND, OR 97206-1600
(503) 238-0705
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(509) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
12/07/2010
Last updated
03/04/2015
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