Individual
GEORGETA BOANCA VANDERMEER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A
Contact information
Practice address
3400 SE 196TH AVE STE 102, CAMAS, WA 98607-8862
(360) 975-0512
Mailing address
6915 SE PLUM DR, MILWAUKIE, OR 97222-2061
(971) 222-4938
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R6643
OR
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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