Individual
ANDREA REDEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6600 SW 105TH AVE STE 120, BEAVERTON, OR 97008-8800
(971) 245-1338
Mailing address
1640 NE 74TH AVE, PORTLAND, OR 97213-6740
(503) 998-5613
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14-07-11
OR
101YP2500X
Professional Counselor
Primary
C4386
OR
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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