Individual
GINGER BANDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17720 NE HALSEY ST, PORTLAND, OR 97230-6734
(503) 654-7654
(503) 654-7333
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3425
OR
Other
Enumeration date
10/04/2006
Last updated
02/06/2017
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