Individual
MR. ANDREW FITZ LOZOVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10638 NE GLISAN ST, PORTLAND, OR 97220-4045
(503) 254-6804
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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