ANDRE B PRUITT

PORTLAND, OR
NPI1205988532
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  3529)
Enumeration Date2007-01-17
Last Update Date2016-06-17
Business Address
-- ANDRE B PRUITT MSW
426 SW STARK ST 8TH FLOOR
PORTLAND, OR 97204-2347
Phone number: 503-988-3674
Mailing Address
-- ANDRE B PRUITT MSW
6926 NE 22ND AVE 8TH FLOOR
PORTLAND, OR 97211-5245
Phone number: 503-860-1213