Individual
ANDREA LYNN VAN DE BRUGGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1500 NE IRVING ST, SUITE 250, PORTLAND, OR 97232-2243
(503) 258-4555
Mailing address
1500 NE IRVING ST, SUITE 250, PORTLAND, OR 97232-2243
(503) 258-4555
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/17/2010
Last updated
04/13/2012
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