Individual
EDGAR ANDRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11610 NW STONE MOUNTAIN LN APT 208, PORTLAND, OR 97229-5995
(971) 202-6833
Mailing address
11610 NW STONE MOUNTAIN LN APT 208, PORTLAND, OR 97229-5995
(971) 202-6833
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3838111
OR
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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