Most Relevant Information
Provider Data
NPI Number: | 1003461567 |
Provider Name: | ANDREA MARIE MCALLISTER |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 08/01/2019 |
Last Updated: | 08/01/2019 |
Provider Practice Location
605 SE CESAR E CHAVEZ BLVD
PORTLAND
OR
972143216
Practice Location Phone/Fax
Phone: | 5037319539 |
Fax: |
Provider Mailing Location
605 SE CESAR E CHAVEZ BLVD
PORTLAND
OR
972143216
Provider Mailing Phone/Fax
Phone: | 5037319539 |
Fax: |