Individual
SHERESE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 MAIN ST STE 409, KLAMATH FALLS, OR 97601-6064
(336) 337-0624
Mailing address
1605 E LINCOLN RD, WOODBURN, OR 97071-5137
(503) 982-9300
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/15/2019
Last updated
09/18/2024
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