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Individual

MISS ANDREA P OROZCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2730 PACIFIC BLVD SE, ALBANY, OR 97321
(541) 967-3866
(541) 812-8807
Mailing address
PO BOX 100, ALBANY, OR 97321-0031
(541) 967-3866
(541) 812-8807

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1669996120
OR
Enumeration date
07/26/2017
Last updated
11/20/2018
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