Individual
ANDREA L VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, P3MHDC, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
5405 NE 10TH AVE, UNIT 4, PORTLAND, OR 97211-4370
(503) 309-6975
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00009295
WA
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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